| Job K Chacko, MD | |
|
1601 E. 19th Avenue, Suite 6400, Denver, CO 80218-1216 | |
| (303) 839-7200 | |
| (303) 839-7229 |
| Full Name | Job K Chacko |
|---|---|
| Gender | Male |
| Speciality | Urology - Pediatric Urology |
| Location | 1601 E. 19th Avenue, Denver, Colorado |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710024088 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2088P0231X | Urology - Pediatric Urology | 40477 (Colorado) | Primary |
| Entity Name | Rocky Mountain Lithotripter Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134202435 PECOS PAC ID: 5395737985 Enrollment ID: O20040401001756 |
| Mailing Address | Practice Location Address |
|---|---|
| Job K Chacko, MD 1601 E. 19th Avenue, Suite 6400, Denver, CO 80218-1216 Ph: (303) 839-7200 | Job K Chacko, MD 1601 E. 19th Avenue, Suite 6400, Denver, CO 80218-1216 Ph: (303) 839-7200 |
Dr. John William Tillett, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 850 E Harvard Ave Ste 305, Denver, CO 80210 Phone: 303-825-8822 Fax: 303-825-4022 | |
Dr. Dustin R Ridout, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 10350 E Dakota Ave, Denver, CO 80247 Phone: 303-338-4545 | |
Milford Ray Painter Jr., Urology Medicare: Not Enrolled in Medicare Practice Location: 2635 Walnut St, Denver, CO 80205 Phone: 877-320-1692 | |
Dr. Michael E Chen, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 10350 E Dakota Ave, Denver, CO 80247 Phone: 303-338-4545 | |
Dr. John Landiss Logan, MD Urology Medicare: Medicare Enrolled Practice Location: 2005 E 18th Ave, Denver, CO 80206 Phone: 303-321-4212 Fax: 303-388-2459 | |
Dr. Benjamin Carpenter, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 2777 Mile High Stadium Cir, Denver, CO 80211 Phone: 303-825-8822 Fax: 303-825-4022 | |
Kyle Walker Szymanski, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 777 Bannock St, Denver, CO 80204 Phone: 303-602-7600 Fax: 303-602-7601 |