Mark Neil Faraco-hadlock, PHD - Medicare Psychologist in Lakewood, CO

Mark Neil Faraco-hadlock, PHD is a medicare enrolled "Psychologist - Clinical" provider in Lakewood, Colorado. His current practice location is 445 Union Blvd, Suite 238, Lakewood, Colorado. You can reach out to his office (for appointments etc.) via phone at (303) 988-1089.

Mark Neil Faraco-hadlock is licensed to practice in Colorado (license number 1571) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1023091782.

Contact Information

Mark Neil Faraco-hadlock, PHD
445 Union Blvd, Suite 238,
Lakewood, CO 80228-1237
(303) 988-1089
(303) 816-0194

Map and Direction




Healthcare Provider's Profile

Full NameMark Neil Faraco-hadlock
GenderMale
SpecialityPsychologist - Clinical
Location445 Union Blvd, Lakewood, Colorado
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1023091782
  • Provider Enumeration Date: 11/26/2005
  • Last Update Date: 07/07/2010
  Medicare PECOS Information:
  • PECOS PAC ID: 6709901648
  • Enrollment ID: I20100915000376

Medical Identifiers

Medical identifiers for Mark Neil Faraco-hadlock such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1023091782NPI-NPPES
07015712MedicaidCO

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical 1571 (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. Mark Neil Faraco-hadlock 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 AddressPractice Location Address
Mark Neil Faraco-hadlock, PHD
Po Box 280772,
Lakewood, CO 80228-0772

Ph: (303) 988-1089
Mark Neil Faraco-hadlock, PHD
445 Union Blvd, Suite 238,
Lakewood, CO 80228-1237

Ph: (303) 988-1089

Reviews and Comments


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