Dyllon Ivy Martini

MD | Pediatric Emergency Medicine | Female

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Complete Profile:

Dyllon Ivy Martini basic information including her official name, gender, specialization, credentials etc. are as mentioned below.

Specialization :	Pediatrics Pediatric Emergency Medicine
Provider Name :	Dyllon Ivy Martini
Credential :	MD
Gender :	Female
Sole Proprietor :	Yes

Business Address:

Dyllon Ivy Martini address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.

Primary Address :	13123 E 16th Ave Aurora, CO, 80045-7106 United States
Phone Number :	720-777-1234

Professional Identification Codes:

NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.

NPI Number :	1891054623
NPI Entity Type :	Individual
First Enrolment Date :	14 May, 2012
Last Updated On :	18 Apr, 2018

Medicare Participation:

Dyllon Ivy Martini participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.

Medicare PECOS ID :	0244521748
Medicare Enrollment ID :	I20170227001011
Primary Specialty :	Emergency Medicine
Medical School :	University Of Colorado School Of Medicine, Denver
Graduation Year :	2012
Accepts Medicare?	Yes. Dyllon Ivy Martini accepts medicare insurance.

Group Practice Association:

Dyllon Ivy Martini is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Dyllon Ivy Martini is associated with along with the number of members in that group. She may also accept medicare indirectly via these group practices.

Organisation Name :	Group Practice ID	No. of Members	Practice Address	Group Accepts Medicare
Innova Emergency Medical Associates Pc	2860633435	39	410 Benedicta Ave Trinidad, CO - 810822005 Ph: 7198469213	Yes
Innova Emergency Medical Associates Pc	2860633435	39	1501 N Williamson Ave Winslow, AZ - 860472735 Ph: 8444666827	Yes
Innova Emergency Medical Associates Pc	2860633435	39	3269 N Stockton Hill Rd Kingman, AZ - 864093619 Ph: 9287572101	Yes

Licenses and Specialities:

Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dyllon Ivy Martini are as mentioned. Primary taxonomy code for Dyllon Ivy Martini, MD is 2080P0204X (Pediatrics Pediatric Emergency Medicine).

Taxonomy Code	Speciality	Primary	License No.	State
207P00000X	Emergency Medicine	No	A136102	CA
2080P0204X	Pediatrics Pediatric Emergency Medicine	Yes	DR.0057591	CO

Mailing Address:

Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.

Mailing Address :	Po Box 110429 Aurora, CO, 80042-0429 United States
Phone Number :	303-493-7000

Business Location:

Patients can refer following map for directions to Dyllon Ivy Martini practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.