Dr Jack Shoup Garland, MD is a medicare enrolled "Pathology - Anatomic Pathology" physician in Taos, New Mexico. His current practice location is
1397 Weimer Rd, Taos, New Mexico. You can reach out to his office (for appointments etc.) via phone at
(505) 751-5884.
Dr Jack Shoup Garland is licensed to practice in New Mexico (license number 2002-0370) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1538340005.
Physician's Profile
Full Name | Dr Jack Shoup Garland |
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Gender | Male |
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Speciality | Pathology - Anatomic Pathology |
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Location | 1397 Weimer Rd, Taos, New Mexico |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1538340005
- Provider Enumeration Date: 11/26/2007
- Last Update Date: 11/26/2007
Medicare PECOS Information:
- PECOS PAC ID: 1850564493
- Enrollment ID: I20111027000225
Medical Identifiers
Medical identifiers for Dr Jack Shoup Garland such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1538340005 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207ZP0101X | Pathology - Anatomic Pathology | 2002-0370 (New Mexico) | Primary |
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. Dr Jack Shoup Garland allows following entities to bill medicare on his behalf.
Entity Name | Taos Health Systems Inc Holy Cross Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1194751958 PECOS PAC ID: 8224937412 Enrollment ID: O20040107000398 |
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Entity Name | Taos Health Systems Inc Holy Cross Hospital |
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Entity Type | Part A Provider - Critical Access Hospital |
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Entity Identifiers | NPI Number: 1902338049 PECOS PAC ID: 8224937412 Enrollment ID: O20170424000809 |
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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. Dr Jack Shoup Garland 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 Address | Practice Location Address |
Dr Jack Shoup Garland, MD 1397 Weimer Rd, Taos, NM 87571-6284 Ph: (505) 751-5884 | Dr Jack Shoup Garland, MD 1397 Weimer Rd, Taos, NM 87571-6284 Ph: (505) 751-5884 |
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