| Jennifer De Toledo Mallek, MD | |
|
12911 W 40th Ave, Wheat Ridge, CO 80401-2696 | |
| (303) 425-4500 | |
| Not Available |
| Full Name | Jennifer De Toledo Mallek |
|---|---|
| Gender | Female |
| Speciality | Anesthesiology |
| Experience | 19 Years |
| Location | 12911 W 40th Ave, Wheat Ridge, Colorado |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588950513 | NPI | - | NPPES |
| 014756100 | Medicaid | FL | |
| 1588950513 | Medicaid | CO | |
| TRN15938 | Other | FL | TRAINING LICENCE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | ME123239 (Florida) | Secondary |
| 207L00000X | Anesthesiology | CDRH.0056931 (Colorado) | Primary |
| 207L00000X | Anesthesiology | TRN15938 (Florida) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| University Of Colorado Hospital Authority | Aurora, CO | Hospital |
| Lutheran Medical Center | Wheat ridge, CO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| University Physicians Incorporated | 3476465667 | 2811 |
| Diehl Anesthesia Inc | 6800197575 | 28 |
| Physician Anesthesia Services Pc | 7517947146 | 102 |
| Entity Name | University Physicians Incorporated |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962461889 PECOS PAC ID: 3476465667 Enrollment ID: O20031105000375 |
| Entity Name | Boulder Valley Anesthesiology, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962431668 PECOS PAC ID: 7113830993 Enrollment ID: O20031107000375 |
| Entity Name | Physician Anesthesia Services Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861476590 PECOS PAC ID: 7517947146 Enrollment ID: O20040723000048 |
| Entity Name | 5280 Anesthesia P C |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689789927 PECOS PAC ID: 2365440559 Enrollment ID: O20061122000467 |
| Entity Name | Elite Anesthesia Concepts Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215049804 PECOS PAC ID: 6507964251 Enrollment ID: O20070605000086 |
| Entity Name | Epic Anesthesia Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770812760 PECOS PAC ID: 2062548605 Enrollment ID: O20100407000329 |
| Entity Name | Diehl Anesthesia Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467833897 PECOS PAC ID: 6800197575 Enrollment ID: O20151229000111 |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer De Toledo Mallek, MD Po Box 650823, Dallas, TX 75265-0823 Ph: () - | Jennifer De Toledo Mallek, MD 12911 W 40th Ave, Wheat Ridge, CO 80401-2696 Ph: (303) 425-4500 |
Phillip L Engen, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 7809 W 38th Ave, Suite 200, Wheat Ridge, CO 80033 Phone: 303-463-6000 Fax: 303-463-6001 | |
Dr. Jenny Wu, Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 12911 W 40th Avenue, Wheat Ridge, CO 80401 Phone: 303-425-4500 | |
Dr. Coleen Renee Hurd, DO Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 8300 W 38th Ave, Wheat Ridge, CO 80033 Phone: 303-422-9438 | |
Heidi B Green, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 8300 W 38th Ave, Wheat Ridge, CO 80033 Phone: 303-422-9438 | |
Michael Peter Burzynski, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 8300 W 38th Ave, Wheat Ridge, CO 80033 Phone: 303-422-9438 | |
Arielle Elizabeth Bauer, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 8300 W 38th Ave, Wheat Ridge, CO 80033 Phone: 303-422-9438 | |
James K Whitaker, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 8300 W 38th Ave, Wheat Ridge, CO 80033 Phone: 303-422-9438 Fax: 303-422-9474 |