Jiasen Wang, MD | |
8316 Kaseman Ct Ne, Albuquerque, NM 87110-7639 | |
(505) 292-5850 | |
Not Available |
Full Name | Jiasen Wang |
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Gender | Male |
Speciality | Dermatology |
Location | 8316 Kaseman Ct 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 |
---|---|---|---|
1760045355 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207N00000X | Dermatology | MD2023-1076 (New Mexico) | Primary |
207N00000X | Dermatology | A186212 (California) | Secondary |
Entity Name | Richard G Bennett Md |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1467508523 PECOS PAC ID: 5496785792 Enrollment ID: O20050816001130 |
Mailing Address | Practice Location Address |
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Jiasen Wang, MD 7300 Ranch Rd. 2222, Bldg 1, Ste 200, Austin, TX 78730-3255 Ph: (512) 628-0465 | Jiasen Wang, MD 8316 Kaseman Ct Ne, Albuquerque, NM 87110-7639 Ph: (505) 292-5850 |
Dr. Willliam F Willis, M.D. Dermatology Medicare: Not Enrolled in Medicare Practice Location: 7520 Montgomery Blvd Ne, Albuquerque, NM 87109 Phone: 505-884-7070 Fax: 505-884-6018 | |
R. Steven Padilla, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 1021 Medical Arts Ave Ne, Albuquerque, NM 87102 Phone: 505-272-4947 | |
Phillip Strange, MD Dermatology Medicare: Medicare Enrolled Practice Location: 1021 Medical Arts Ave Ne, Msc09 4240, Albuquerque, NM 87102 Phone: 505-272-6222 | |
Carol Purcell, PA-C Dermatology Medicare: Accepting Medicare Assignments Practice Location: 10151 Montgomery Blvd Ne Bldg 1, Suite A, Albuquerque, NM 87111 Phone: 505-855-5503 Fax: 505-855-5533 | |
Dr. Heidi Elizabeth Fleischmann, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 7520 Montgomery Blvd Ne, Bldg D4, Albuquerque, NM 87109 Phone: 505-884-7070 Fax: 505-884-6018 | |
Shelly Ann Stepenaskie, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1001 Woodward Pl Ne, Albuquerque, NM 87102 Phone: 505-938-8296 Fax: 505-938-8688 | |
Dr. C.g. Elliott Foucar, M.D. Dermatology Medicare: Not Enrolled in Medicare Practice Location: 14029 Wind Mountain Rd Ne, Albuquerque, NM 87112 Phone: 505-275-1395 Fax: 595-275-1395 |