Lauren M. Bonati, M.

Individual provider Active NPI MOHS-Micrographic Surgery Physician · Edwards, CO

NPI 1982947891 · NPPES record last updated Sep 19, 2018

Key facts

NPI
1982947891
Entity type
Individual (NPI type 1)
Primary specialty
MOHS-Micrographic Surgery Physician 207ND0101X
License
DR.0060623 (CO)
Practice address
105 Edwards Village Boulevard
G211
Edwards, CO 81632-3211
Phone
(970) 926-1800
Fax
(888) 505-2650
NPI assigned
Mar 28, 2013
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare Care Compare profile

Specialty
Dermatology
Education
University of Miami, LM Miller School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mountain Dermatology Specialists PC (3 clinicians)

Practice addresses (Care Compare)

105 Edwards Village Boulevard
Suite G211
Edwards, CO 81632-3211
Phone (970) 926-1800

Merit-based Incentive Payment System (MIPS)

Final score
99.52 of 100 (individual)
Quality
99.04
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision30
Removal of tissue1-10
Removal of skin lesions760
Removal of skin cancer278
Skin biopsy190

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: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20180824000849 CO Practitioner - Dermatology 5193096105 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Mountain Dermatology Specialists, PC Dermatology Current
since Aug 20, 2018
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X DR.0060623 CO
Student in an Organized Health Care Education/Training Program 390200000X FL
MOHS-Micrographic Surgery Physician 207ND0101X DR.0060623 CO Yes

Addresses

Primary practice location

105 Edwards Village Boulevard
G211
Edwards, CO 81632-3211

Mailing address

PO Box 2606
Edwards, CO 81632-2606
Phone (970) 926-1800

Other names

  • Lauren Meshkiv Former name

Other providers in Edwards, CO

All providers in Edwards, CO · MOHS-Micrographic Surgery Physician in Colorado

Sources for this page

Verify at the official NPI Registry.