Jay R Bishop, DO | |
350 W Country Club Rd, Suite#205, Roswell, NM 88201-5205 | |
(575) 622-7593 | |
(575) 622-5538 |
Full Name | Jay R Bishop |
---|---|
Gender | Male |
Speciality | Urology |
Experience | 43 Years |
Location | 350 W Country Club Rd, Roswell, 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 |
---|---|---|---|
1407846850 | NPI | - | NPPES |
390807236AE | Other | WI | UNITY |
13590 | Other | WI | DEAN |
NPI & TIN# | Other | NM | BCBS OF NM |
WI01K8 | Other | WI | JOHN DEERE |
P00061174 | Other | WI | RAILROAD MEDICARE |
43509400 | Medicaid | WI | |
00040021 | Medicaid | NM | |
46011 | Other | WI | TOUCHPOINT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208800000X | Urology | 46011 (Wisconsin) | Secondary |
208800000X | Urology | A-1577-10 (New Mexico) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
University Of New Mexico Hospital | Albuquerque, NM | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
University Of New Mexico Medical Group | 4981795267 | 977 |
Entity Name | Roswell Clinic Corp |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649267618 PECOS PAC ID: 9436062759 Enrollment ID: O20031111000799 |
Entity Name | Unm Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1831218627 PECOS PAC ID: 4981795267 Enrollment ID: O20070801000589 |
Mailing Address | Practice Location Address |
---|---|
Jay R Bishop, DO 350 W Country Club Rd, Suite #205, Roswell, NM 88201-5205 Ph: (575) 622-7593 | Jay R Bishop, DO 350 W Country Club Rd, Suite#205, Roswell, NM 88201-5205 Ph: (575) 622-7593 |
Dr. Donald E Wenner Iii, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 1600 Se Main St, Suite F, Roswell, NM 88203 Phone: 575-623-1980 Fax: 575-623-1161 | |
Robert Nelson, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 350 W Country Club Rd, Suite #205, Roswell, NM 88201 Phone: 575-622-7593 Fax: 575-622-5538 |