Mariella Lyda Accame, PA
Individual provider Active NPI Physician Assistant · Lakewood, CO
NPI 1629007141 · NPPES record last updated Jan 7, 2015
Key facts
- NPI
- 1629007141
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- PA0003952 (CO)
- Practice address
- 1746 Cole Blvd
Suite 150
Lakewood, CO 80401-3208 - Phone
- (303) 914-8800
- Fax
- (303) 716-3777
- NPI assigned
- Jun 30, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Hospital & facility affiliations 6
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Diversified Radiology of Colorado Inc
Practice addresses (Care Compare)
1719 E 19TH Ave
Denver, CO 80218-1235
Phone (303) 914-8800
4567 E 9TH Ave
Denver, CO 80220-3908
Phone (303) 914-8800
Hospital & facility affiliations
- HCA HealthOne Presbyterian St. Lukes
- HCA Healthone Rose
- HCA Healthone Mountain Ridge
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.89 of 100
- Quality
- 75
- Improvement activities
- 40
- Cost
- 88.31
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150102000656 | CO | Practitioner - Physician Assistant | 3375641251 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA0003952 | CO | MD | Physician Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 103053 | NC | |
| Physician Assistant | 363A00000X | PA0003952 | CO | Yes |
Addresses
Primary practice location
1746 Cole Blvd
Suite 150
Lakewood, CO 80401-3208
Mailing address
1746 Cole Blvd
Suite 150
Lakewood, CO 80401-3208
Phone (303) 914-8800
Other providers in Lakewood, CO
- Abundant Wellness LLC
- Jehan Fayez Abuzer
- Academy for Visual Achievement, Inc.
- Academy Park Pediatrics PC
- Acaria Inc.
- Accelerate Health Integrative Medicine, LLC
- Accent on Independence Inc
- Accent on Independence Inc
- Accent on Independence, LLC
- Ace Counseling LLC
All providers in Lakewood, CO · Physician Assistant in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 7, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.