Jonathan Vilasier Iralu, MD | |
516 E. Nizhoni Blvd., Box 1337, Gallup, NM 87301-1337 | |
(505) 722-1000 | |
(505) 726-8557 |
Full Name | Jonathan Vilasier Iralu |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Experience | 37 Years |
Location | 516 E. Nizhoni Blvd., Gallup, 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 |
---|---|---|---|
1396774204 | NPI | - | NPPES |
000R8847 | Medicaid | NM | |
419631 | Medicaid | AZ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 95-259 (New Mexico) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Gallup Indian Medical Center | Gallup, NM | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Dhhs,phs,naihs, Gallup Indian Medical Center | 3173436409 | 121 |
Entity Name | Dhhs,phs,naihs, Gallup Indian Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1225002322 PECOS PAC ID: 3173436409 Enrollment ID: O20031111000840 |
Mailing Address | Practice Location Address |
---|---|
Jonathan Vilasier Iralu, MD 516 E. Nizhoni Blvd., Box 1337, Gallup, NM 87301-1337 Ph: (505) 722-1000 | Jonathan Vilasier Iralu, MD 516 E. Nizhoni Blvd., Box 1337, Gallup, NM 87301-1337 Ph: (505) 722-1000 |
Dr. Frederic William Held, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 516 E Nizhoni Blvd, Gallup, NM 87301 Phone: 505-722-1000 Fax: 505-726-8557 | |
Braden Mogler, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 516 E Nizhoni Blvd, Gallup, NM 87301 Phone: 505-722-1000 | |
Jeanmaire Rene Offner, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 516 E. Nizhoni Blvd, Box 1337, Gallup, NM 87301 Phone: 505-722-1262 Fax: 505-726-8557 | |
Kimberly Ganster Suk, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 516 E Nizhoni Blvd, Gallup, NM 87301 Phone: 505-722-1575 | |
Dr. Julia Noelle Beamesderfer, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 516 E Nizhoni Blvd, Gallup, NM 87301 Phone: 505-722-1000 | |
Dr. Ayodele Olumide Erinle, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1901 Red Rock Dr, Gallup, NM 87301 Phone: 505-863-7933 Fax: 505-863-9406 | |
Thomas Robinson, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: Rehoboth Mckinley Christian Health Care Services, 2111 College Drive, Gallup, NM 87301 Phone: 505-863-1820 |