Alexander Miles Jenson, | |
516 E Nizhoni Blvd, Gallup, NM 87301-5748 | |
(781) 301-1077 | |
Not Available |
Full Name | Alexander Miles Jenson |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 516 E Nizhoni Blvd, Gallup, New Mexico |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1124450317 | NPI | - | NPPES |
D86397 | Other | MD | LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | D86397 (Maryland) | Primary |
Entity Name | Johns Hopkins University |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922008549 PECOS PAC ID: 8921903147 Enrollment ID: O20031215000719 |
Entity Name | University Of Maryland Emergency Medicine Associates Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1144271743 PECOS PAC ID: 1951294941 Enrollment ID: O20040204000360 |
Entity Name | University Of Maryland Midtown Health Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1710347729 PECOS PAC ID: 1557640356 Enrollment ID: O20161118001423 |
Mailing Address | Practice Location Address |
---|---|
Alexander Miles Jenson, 1103 Boggio Dr, Gallup, NM 87301-4906 Ph: (781) 301-1077 | Alexander Miles Jenson, 516 E Nizhoni Blvd, Gallup, NM 87301-5748 Ph: (781) 301-1077 |
Mehdi Sattari, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: Rehoboth Mckinley Christian Health Care Services, 1901 Red Rock Drive, Gallup, NM 87301 Phone: 505-863-7000 | |
Alan Craig Beamsley, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1010 Milda Ave, Gallup, NM 87301 Phone: 505-870-1256 | |
Faye Maryann Lee, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: Gimc Department Of Emergency Medicine, 516 Nizhoni Blvd, Gallup, NM 87301 Phone: 714-785-5263 | |
Mac Henry, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 516 E Nizhoni Blvd, Gallup, NM 87301 Phone: 505-722-1000 | |
Clayton M Dalton, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 516 E Nizhoni Blvd, Gallup, NM 87301 Phone: 505-722-1000 | |
Darryl Macias, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: Rehoboth Mckinley Christian Health Care Services, 1901 Red Rock Drive, Gallup, NM 87301 Phone: 505-863-7000 |