Elise Marie Itano, MD - Medicare Physical Medicine And Rehabilitation in Boulder, CO

Elise Marie Itano, MD is a medicare enrolled "Physical Medicine & Rehabilitation - Pain Medicine" physician in Boulder, Colorado. She went to University Of Texas Southwestern Medical School At Dallas and graduated in 2014 and has 10 years of diverse experience with area of expertise as Physical Medicine And Rehabilitation. She is a member of the group practice Boulder Medical Center, Pc, Theraphysics Partners Of Colorado Inc, Dr Poole Professional Corporation and her current practice location is 2750 Broadway St, Boulder, Colorado. You can reach out to her office (for appointments etc.) via phone at (303) 440-3000.

Elise Marie Itano is licensed to practice in Colorado (license number 0062819) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1225449754.

Contact Information

Elise Marie Itano, MD
2750 Broadway St,
Boulder, CO 80304
(303) 440-3000
Not Available



Physician's Profile

Full NameElise Marie Itano
GenderFemale
SpecialityPhysical Medicine And Rehabilitation
Experience10 Years
Location2750 Broadway St, Boulder, Colorado
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Elise Marie Itano attended and graduated from University Of Texas Southwestern Medical School At Dallas in 2014
  NPI Data:
  • NPI Number: 1225449754
  • Provider Enumeration Date: 05/19/2014
  • Last Update Date: 07/01/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 2961700398
  • Enrollment ID: I20190919001637

Medical Identifiers

Medical identifiers for Elise Marie Itano such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1225449754NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2081P2900XPhysical Medicine & Rehabilitation - Pain Medicine 0062819 (Colorado)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Boulder Community HealthBoulder, COHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Boulder Medical Center, Pc418353620479
Theraphysics Partners Of Colorado Inc872999840641
Dr Poole Professional Corporation913347954610

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Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Elise Marie Itano allows following entities to bill medicare on her behalf.
Entity NameBoulder Medical Center, Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1306820923
PECOS PAC ID: 4183536204
Enrollment ID: O20031105000512

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Entity NameDr Poole Professional Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1861986465
PECOS PAC ID: 9133479546
Enrollment ID: O20240110003663

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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. Elise Marie Itano 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
Elise Marie Itano, MD
3727 Pecos St,
Denver, CO 80211-2655

Ph: (210) 367-1223
Elise Marie Itano, MD
2750 Broadway St,
Boulder, CO 80304

Ph: (303) 440-3000

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Physical Medicine & Rehabilitation Doctors in Boulder, CO

John Tobey, MD
Physical Medicine & Rehabilitation
Medicare: Accepting Medicare Assignments
Practice Location: 5387 Manhattan Cir, Suite 200, Boulder, CO 80303
Phone: 303-494-7773    
Britt Garcia, PT
Physical Medicine & Rehabilitation
Medicare: Accepting Medicare Assignments
Practice Location: 350 Ponca Pl, Boulder, CO 80303
Phone: 720-562-4413    
Michael Craig Mahan, PT, DPT
Physical Medicine & Rehabilitation
Medicare: Accepting Medicare Assignments
Practice Location: 3000 Center Green Dr Ste 300, Boulder, CO 80301
Phone: 303-413-9903    Fax: 303-413-9907
Mr. Kyle S Kahl, MS, ATC
Physical Medicine & Rehabilitation
Medicare: Not Enrolled in Medicare
Practice Location: 5603 Arapahoe Ave Ste 5, Boulder, CO 80303
Phone: 303-903-9419    
Olivia Covin,
Physical Medicine & Rehabilitation
Medicare: Not Enrolled in Medicare
Practice Location: 1800 Broadway Ste 190, Boulder, CO 80302
Phone: 720-869-1857    
Julie A Stapleton, M.D.
Physical Medicine & Rehabilitation
Medicare: Accepting Medicare Assignments
Practice Location: 5277 Manhattan Cir, Suite 100, Boulder, CO 80303
Phone: 303-499-9950    

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