Jonathan B Rudolf, MD | |
801 W Maple St, Farmington, NM 87401-5630 | |
(505) 325-5011 | |
(505) 324-2259 |
Full Name | Jonathan B Rudolf |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Experience | 33 Years |
Location | 801 W Maple St, Farmington, 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 |
---|---|---|---|
1851366561 | NPI | - | NPPES |
97526550 | Medicaid | NM |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 2004-0021 (New Mexico) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Animas Surgical Hospital, Llc | Durango, CO | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Animas Surgical Hospital Llc | 0143295428 | 20 |
Entity Name | Usacs Of Colorado Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760415871 PECOS PAC ID: 4981507571 Enrollment ID: O20040130000439 |
Entity Name | Animas Surgical Hospital Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1861721714 PECOS PAC ID: 0143295428 Enrollment ID: O20081114000103 |
Entity Name | Usacs Community Emergency Services Of Colorado Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053824979 PECOS PAC ID: 2466711536 Enrollment ID: O20180117002329 |
Mailing Address | Practice Location Address |
---|---|
Jonathan B Rudolf, MD 4101 Cristo Rey St, Farmington, NM 87401-8615 Ph: (505) 325-4380 | Jonathan B Rudolf, MD 801 W Maple St, Farmington, NM 87401-5630 Ph: (505) 325-5011 |
Brad J Campbell, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 801 W Maple St, Farmington, NM 87401 Phone: 505-609-2001 Fax: 505-609-2259 | |
Christopher A Gutierrez, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 801 W Maple St, Farmington, NM 87401 Phone: 505-609-2000 | |
Angela Bell, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 801 W Maple St, Farmington, NM 87401 Phone: 505-609-2000 Fax: 505-609-2259 | |
Catherine A Ambrose, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 801 W Maple St, Farmington, NM 87401 Phone: 505-609-2000 Fax: 505-609-2259 | |
Eric M Ketcham, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 801 W Maple St, Farmington, NM 87401 Phone: 505-609-2000 Fax: 505-609-2259 | |
Dr. Brian A. Rike, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 801 W Maple St, Farmington, NM 87401 Phone: 505-609-2258 | |
Dr. Virginia Elizabeth Harvey, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 801 W Maple St, Farmington, NM 87401 Phone: 505-609-2000 |