Medical Genetics, Ph.d. Medical Genetics In Denver Colorado

NPI list of 5 medical genetics, ph.d. medical genetics registered providers with a business address in Denver, CO, all registered as individuals. A medical geneticist works in association with a medical specialist, is affiliated with a clinical genetics program, and serves as a consultant to medical and dental specialists.

NPI Name Type Taxonomy Address Medicare PECOS
1073721023CAROL ANN LIPPERIndividualMedical Genetics, Ph.D. Medical Genetics240 SAINT PAUL ST SUITE 102
DENVER, CO 80206
(303) 746-0110
Non-Participating ProviderNO
1124070735ELIZABETH W HERRIndividualMedical Genetics, Ph.D. Medical Genetics3405 DOWNING ST
DENVER, CO 80205
(303) 296-7167
Non-Participating ProviderNO
1417043480LORIS MCGAVRANIndividualMedical Genetics, Ph.D. Medical GeneticsUNIVERSITY OF COLORADO HOSPITAL 4200 E. 9TH AVE.
DENVER, CO 80262
(303) 493-7000
Non-Participating ProviderNO
1477590982KAREN SWISSHELMIndividualMedical Genetics, Ph.D. Medical GeneticsUNIVERSITY OF COLORADO HOSPITAL 4200 E. 9TH AVENUE
DENVER, CO 80262
(303) 493-7000
Non-Participating ProviderNO
1528147584ROBERT T MCCALMONIndividualMedical Genetics, Ph.D. Medical Genetics325 IVANHOE ST
DENVER, CO 80220
(303) 514-6775
Non-Participating ProviderNO

Medicare Participation

  • Participating providers are registered with Medicare and accept claims assignment. Taking claims assignment means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or co-payment amount for a visit or service.
  • Non-Participating providers do not agree to take Medicare claims assignment. If you are a Medicare beneficiary this means the provider can charge up to 15% more than Medicare's approved amount for the cost of rendered services, in addition to your normal deductible and coinsurance costs. There are some states that restrict the limiting charge when you see non-participating provider. If you pay the full cost of your care up front, your non- participating provider should still submit a claim to Medicare. Afterward, you should receive reimbursement from Medicare for up 80% of the Medicare-approved amount for the services rendered.
  • Opt-out providers signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so.

What is PECOS?

PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals eligible to order or refer healthcare services for Medicare patients.