| Dario Byung San Roman, AGACNP/FNP | |
|
410 Benedicta Ave, Trinidad, CO 81082-2005 | |
| (719) 846-4262 | |
| (719) 846-3540 |
| Full Name | Dario Byung San Roman |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 11 Years |
| Location | 410 Benedicta Ave, Trinidad, Colorado |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528462975 | NPI | - | NPPES |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mt San Rafael Hospital | Trinidad, CO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Trinidad Area Health Association | 2769394055 | 20 |
| Entity Name | Trinidad Area Health Association |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467400309 PECOS PAC ID: 2769394055 Enrollment ID: O20031111000178 |
| Entity Name | Innova Emergency Medical Associates Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295178978 PECOS PAC ID: 2860633435 Enrollment ID: O20130724000195 |
| Mailing Address | Practice Location Address |
|---|---|
| Dario Byung San Roman, AGACNP/FNP Po Box 481, Trinidad, CO 81082 Ph: (719) 289-1139 | Dario Byung San Roman, AGACNP/FNP 410 Benedicta Ave, Trinidad, CO 81082-2005 Ph: (719) 846-4262 |
Cindi D Mcintosh, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 10577 Santa Fe Trail Drive, Trinidad, CO 81082 Phone: 719-846-3536 | |
Marquita Hahn, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 400 Benedicta Ave, Trinidad, CO 81082 Phone: 719-846-2206 | |
Mrs. Lana Geier, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 400 Benedicta Ave Ste A, Trinidad, CO 81082 Phone: 719-846-2206 Fax: 719-846-8355 | |
Gwyndolyn Suzanne Snyder, AGPCNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1112 Grant Ave, Trinidad, CO 81082 Phone: 171-968-0114 Fax: 719-680-1148 | |
Lucy Obianuju Norrell, DNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2202 Freedom Rd, Trinidad, CO 81082 Phone: 719-398-0806 Fax: 719-574-4066 |