John Dirk Wassner, MD | |
465 Saint Michaels Dr, Suite 110, Santa Fe, NM 87505-7670 | |
(505) 954-8720 | |
Not Available |
Full Name | John Dirk Wassner |
---|---|
Gender | Male |
Speciality | Surgery |
Location | 465 Saint Michaels Dr, Santa Fe, 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 |
---|---|---|---|
1366410961 | NPI | - | NPPES |
80509568 | Medicaid | NM | |
10024478 | Other | NM | LOVELACE |
2607463 | Other | UHC | |
NM009X29 | Other | NM | BCBS NM |
QMYPR0070898 | Other | MOLINA HEALTHCARE | |
202005441 | Other | PRESBYTERIAN HEALTH PLAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | MD2006-0010 (New Mexico) | Primary |
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 | Sierra Vista Hospital 69 |
---|---|
Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1760446009 PECOS PAC ID: 0143122416 Enrollment ID: O20090218000155 |
Entity Name | Sierra Vista Hospital 69 |
---|---|
Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1760446009 PECOS PAC ID: 0143122416 Enrollment ID: O20090227000341 |
Mailing Address | Practice Location Address |
---|---|
John Dirk Wassner, MD 455 Saint Michaels Dr, Medical Staff Office, Santa Fe, NM 87505-7601 Ph: (505) 820-5227 | John Dirk Wassner, MD 465 Saint Michaels Dr, Suite 110, Santa Fe, NM 87505-7670 Ph: (505) 954-8720 |
Poseidon Spyros Varvitsiotis, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1631 Hospital Dr, Santa Fe, NM 87505 Phone: 505-988-3975 Fax: 505-986-8001 | |
William Edgefield Mitchell Jr., MD Surgery Medicare: Medicare Enrolled Practice Location: 9a Rocky Slope Dr, Santa Fe, NM 87508 Phone: 505-473-3648 | |
Anna M Voltura, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 435 Saint Michaels Dr Ste 104, Santa Fe, NM 87505 Phone: 505-372-1052 Fax: 505-820-3172 | |
Kimberly Ann Moseley, MD Surgery Medicare: Medicare Enrolled Practice Location: 455 Saint Michaels Dr, Santa Fe, NM 87505 Phone: 505-913-3975 | |
Joseph M. Smith Iii, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 490b W Zia Rd, Suite A, Santa Fe, NM 87505 Phone: 505-995-8346 Fax: 505-995-8345 | |
Michael Scott Woods, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 465 Saint Michaels Dr, Suite 110, Santa Fe, NM 87505 Phone: 505-954-8720 |