Philip Charles Marin, MD is a medicare enrolled "Plastic Surgery" physician in Pueblo, Colorado. He went to University Of North Dakota School Of Medicine and graduated in 1994 and has 30 years of diverse experience with area of expertise as Plastic And Reconstructive Surgery. His current practice location is
1304 N Grand Ave, Pueblo, Colorado. You can reach out to his office (for appointments etc.) via phone at
(719) 669-8487.
Philip Charles Marin is licensed to practice in Colorado (license number 40500) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1205868544.
Physician's Profile
| Full Name | Philip Charles Marin |
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| Gender | Male |
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| Speciality | Plastic And Reconstructive Surgery |
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| Experience | 30 Years |
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| Location | 1304 N Grand Ave, Pueblo, Colorado |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Philip Charles Marin attended and graduated from University Of North Dakota School Of Medicine in 1994
NPI Data:
- NPI Number: 1205868544
- Provider Enumeration Date: 07/07/2006
- Last Update Date: 04/05/2023
Medicare PECOS Information:
- PECOS PAC ID: 0941249635
- Enrollment ID: I20050509000188
Medical Identifiers
Medical identifiers for Philip Charles Marin such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1205868544 | NPI | - | NPPES |
| 61101 | Other | | HUMANA GOLD |
| 00073 | Other | | HMO CO |
| P00213540 | Other | | MEDICARE RAILROAD |
| TDDIR | Other | | TRICARE |
| 00320 | Other | | INSURANCE |
| MA65799 | Other | CO | BLUE CROSS BLUE SHIELD |
| 71412 | Other | | UNITED OF OMAHA |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2086S0122X | Surgery - Plastic And Reconstructive Surgery | 0040500 (Colorado) | Secondary |
| 208200000X | Plastic Surgery | 40500 (Colorado) | Primary |
| 2082S0105X | Plastic Surgery - Surgery Of The Hand | 40500 (Colorado) | Secondary |
Medical Facilities Affiliation
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. Philip Charles Marin allows following entities to bill medicare on his behalf.
| Entity Name | Philip C. Marin, Md Prof Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1497934558
PECOS PAC ID: 5698714384
Enrollment ID: O20050502001188 |
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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. Philip Charles Marin 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 Address | Practice Location Address |
|---|
Philip Charles Marin, MD
1304 N Grand Ave,
Pueblo, CO 81003-2718
Ph: (719) 669-8487 | Philip Charles Marin, MD
1304 N Grand Ave,
Pueblo, CO 81003-2718
Ph: (719) 669-8487 |
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