Benjamin M Stake, MD | |
1115 Central Ave Ne, Pmg Emergency Medicine, Albuquerque, NM 87106-4927 | |
(505) 841-1125 | |
(505) 841-1737 |
Full Name | Benjamin M Stake |
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Gender | Male |
Speciality | Emergency Medicine |
Location | 1115 Central Ave Ne, Albuquerque, 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 |
---|---|---|---|
1306930102 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 93160 (New Mexico) | Primary |
Entity Name | Dhhs Phs Naihs Crownpoint Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1114960093 PECOS PAC ID: 0143128041 Enrollment ID: O20031230000393 |
Mailing Address | Practice Location Address |
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Benjamin M Stake, MD Po Box 26666, Phs Provider Enrollment, Albuquerque, NM 87125-6666 Ph: (505) 923-5356 | Benjamin M Stake, MD 1115 Central Ave Ne, Pmg Emergency Medicine, Albuquerque, NM 87106-4927 Ph: (505) 841-1125 |
Darren M Shafer, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: Pmg Emergency Medicine, 1101 Central Se, Albuquerque, NM 87106 Phone: 505-841-1125 Fax: 505-841-1737 | |
Nicholas Weiss, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1100 Central Ave Se, Emergency Medicine, Albuquerque, NM 87106 Phone: 505-841-1125 Fax: 505-841-1737 | |
Matthew D Poage, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 5400 Gibson Blvd Se, Albuquerque, NM 87108 Phone: 904-805-1300 Fax: 904-805-1302 | |
Matthew Wilks, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: Unm Department Of Emergency Medicine Msc11-6025, 1 University Of New Mexico, Albuquerque, NM 87131 Phone: 505-272-5062 Fax: 505-925-7290 | |
Daniel M. Gee, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 6400 Paseo Del Norte Blvd Ne, Albuquerque, NM 87113 Phone: 505-596-2100 Fax: 505-596-2180 | |
Lauri B Magee, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1100 Central Ave Se, Albuquerque, NM 87106 Phone: 505-841-1125 | |
Dr. Tony B Salazar, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 601 Dr Martin Luther King Jr Ave Ne, Albuquerque, NM 87102 Phone: 505-727-1008 |