Dr Gary Jesse Vaughn, MD | |
516 E Nizhoni Blvd, Gallup, NM 87301 | |
(505) 722-1000 | |
Not Available |
Full Name | Dr Gary Jesse Vaughn |
---|---|
Gender | Male |
Speciality | Hospice/palliative Care |
Experience | 21 Years |
Location | 516 E Nizhoni Blvd, Gallup, New Mexico |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1972546604 | NPI | - | NPPES |
14607531 | Medicaid | NM |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | M9151 (Idaho) | Secondary |
207QH0002X | Family Medicine - Hospice And Palliative Medicine | M-9151 (Idaho) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Gallup Indian Medical Center | Gallup, NM | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Dhhs,phs,naihs, Gallup Indian Medical Center | 3173436409 | 121 |
Entity Name | Dhhs,phs,naihs, Gallup Indian Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1225002322 PECOS PAC ID: 3173436409 Enrollment ID: O20031111000840 |
Mailing Address | Practice Location Address |
---|---|
Dr Gary Jesse Vaughn, MD 516 E Nizhoni Blvd, Gallup, NM 87301-5748 Ph: () - | Dr Gary Jesse Vaughn, MD 516 E Nizhoni Blvd, Gallup, NM 87301 Ph: (505) 722-1000 |
Angela R Dorsey, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 516 E Nizhoni Blvd, Gallup, NM 87301 Phone: 505-722-1000 | |
Donald Joel Lewis-kraitsik, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 516 E. Nizhoni Blvd., Gallup, NM 87301 Phone: 505-722-1000 Fax: 505-726-8740 | |
Dr. Caroline Mogler, M.D Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 516 E Nizhoni Blvd, Gallup, NM 87301 Phone: 505-722-1000 | |
Margot Albert, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 516 E Nizhoni Blvd, Gallup, NM 87301 Phone: 505-722-1000 | |
Aedra D. Andrade, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 610 N 5th St, Gallup, NM 87301 Phone: 505-863-3120 Fax: 505-863-2691 | |
Dr. Bert Clair Eliason, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 516 E. Nizhoni Blvd., Gallup, NM 87301 Phone: 505-722-1000 Fax: 505-726-8740 | |
Alma Julia Alford, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 516 E. Nizhoni Blvd., Gallup, NM 87301 Phone: 505-722-1000 Fax: 505-726-8740 |