Mary Kay Rozmyslovicz, MD is a
Internal Medicine physician based in Granby, Colorado. Mary Kay Rozmyslovicz is licensed to practice in Colorado (license number 28854) and her current practice location is 480 E Agate, Granby, Colorado. She can be reached at her office (for appointments etc.) via phone at
(970) 887-7400.
NPI number for Mary Kay Rozmyslovicz is 1558464594 and her current mailing address is Dept 1057, Denver, Colorado. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1558464594.
Physician's Profile
| Full Name | Mary Kay Rozmyslovicz |
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| Gender | Female |
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| Speciality | Internal Medicine |
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| Location | 480 E Agate, Granby, Colorado |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1558464594
- Provider Enumeration Date: 09/06/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Mary Kay Rozmyslovicz such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1558464594 | NPI | - | NPPES |
| 01288547 | Medicaid | CO | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207R00000X | Internal Medicine | 28854 (Colorado) | Primary |
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. Mary Kay Rozmyslovicz is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mary Kay Rozmyslovicz, MD
Dept 1057,
Denver, CO 80291-1057
Ph: (303) 486-5504 | Mary Kay Rozmyslovicz, MD
480 E Agate,
Granby, CO 80446
Ph: (970) 887-7400 |
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