Gino Jose Bardi Lola, MD - Medicare Pediatrics in Douglas, AZ

Gino Jose Bardi Lola, MD is a medicare enrolled "Pediatrics" physician in Douglas, Arizona. His current practice location is 815 E 15th St, Douglas, Arizona. You can reach out to his office (for appointments etc.) via phone at (520) 364-5437.

Gino Jose Bardi Lola is licensed to practice in Arizona (license number 65304) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1700230109.

Contact Information

Gino Jose Bardi Lola, MD
815 E 15th St,
Douglas, AZ 85607-1631
(520) 364-5437
Not Available

Map and Direction




Physician's Profile

Full NameGino Jose Bardi Lola
GenderMale
SpecialityPediatrics
Location815 E 15th St, Douglas, Arizona
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1700230109
  • Provider Enumeration Date: 04/21/2016
  • Last Update Date: 02/14/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 3971830464
  • Enrollment ID: I20220615001320

Medical Identifiers

Medical identifiers for Gino Jose Bardi Lola such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1700230109NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 65304 (Arizona)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Gino Jose Bardi Lola allows following entities to bill medicare on his behalf.
Entity NameChiricahua Community Health Centers Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1942241443
PECOS PAC ID: 5395638878
Enrollment ID: O20040206000860

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Gino Jose Bardi Lola is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Gino Jose Bardi Lola, MD
1205 N F Ave,
Douglas, AZ 85607-1920

Ph: (520) 459-3110
Gino Jose Bardi Lola, MD
815 E 15th St,
Douglas, AZ 85607-1631

Ph: (520) 364-5437

Reviews and Comments


Pediatrics Doctors in Douglas, AZ

Peter Anthony Rice, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 815 E 15th St, Douglas, AZ 85607
Phone: 520-364-5437    Fax: 520-364-4261
Dr. Milla Sergeerna Rosen, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 815 E 15th St, Douglas, AZ 85607
Phone: 520-364-5437    Fax: 520-364-4261
Eduardo Antonio Marrero Velis,
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 815 E 15th St, Douglas, AZ 85607
Phone: 520-364-5437    Fax: 520-364-4261
Dr. Neftali Francisco Fernandez, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 815 E 15th St, Douglas, AZ 85607
Phone: 520-364-5437    Fax: 520-364-4261
Dr. Zachary Sean Patterson, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 815 E 15th St, Douglas, AZ 85607
Phone: 520-364-5437    Fax: 520-805-2986
Jennifer Rebecca Albon, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 815 E 15th St, Pediatric Center Of Excellence, Douglas, AZ 85607
Phone: 520-364-5437    Fax: 520-364-4261
Jonathan Paul Melk, M.D.
Pediatrics
Medicare: Accepting Medicare Assignments
Practice Location: 815 E 15th Street, Douglas, AZ 85607
Phone: 520-364-5437    Fax: 520-805-2985

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.