Mark Edward Polhemus, MD | |
715 Dr Martin Luther King Jr Ave Ne Ste 201, Albuquerque, NM 87102-3667 | |
(505) 727-3020 | |
(505) 727-9590 |
Full Name | Mark Edward Polhemus |
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Gender | Male |
Speciality | Internal Medicine - Infectious Disease |
Location | 715 Dr Martin Luther King Jr Ave Ne Ste 201, 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 |
---|---|---|---|
1891027512 | NPI | - | NPPES |
03368756 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RI0200X | Internal Medicine - Infectious Disease | 261872 (New York) | Secondary |
207RI0200X | Internal Medicine - Infectious Disease | MD2022-1151 (New Mexico) | Primary |
Entity Name | Department Of Medicine Medical Serv Grp At Suny Hlth Sci Ctr Syr In |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063468239 PECOS PAC ID: 3274445796 Enrollment ID: O20031104000051 |
Mailing Address | Practice Location Address |
---|---|
Mark Edward Polhemus, MD 800 Bradbury Dr Se Ste 116, Albuquerque, NM 87106-4310 Ph: (505) 272-1476 | Mark Edward Polhemus, MD 715 Dr Martin Luther King Jr Ave Ne Ste 201, Albuquerque, NM 87102-3667 Ph: (505) 727-3020 |
Dr. Alberto Aguayo Rico, M.D, Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 401 San Mateo Blvd Se, Albuquerque, NM 87108 Phone: 505-462-7333 Fax: 505-462-7440 | |
Peter Guido, MD Infectious Disease Medicare: Not Enrolled in Medicare Practice Location: 4700 Jefferson St Ne, Ste 800, Albuquerque, NM 87109 Phone: 505-872-6000 Fax: 505-872-6003 | |
Kenneth A Bell, DO Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 2901 Transport St Se, Albuquerque, NM 87106 Phone: 505-262-7110 Fax: 505-262-7308 | |
Joseph F. Oser, M.D. Infectious Disease Medicare: Not Enrolled in Medicare Practice Location: 1501 San Pedro Dr Se, Albuquerque, NM 87108 Phone: 505-265-1711 | |
Dr. Stanley Zissman Berman, M.D. Infectious Disease Medicare: Not Enrolled in Medicare Practice Location: 7416 Vista Del Arroyo Ave Ne, Albuquerque, NM 87109 Phone: 505-884-7270 | |
Huyentrang Vu, MD Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: Unm Hospital Internal Medicine, 2211 Lomas Blvd Ne, Albuquerque, NM 87131 Phone: 505-272-6225 | |
Tamara Goodman, MD Infectious Disease Medicare: Medicare Enrolled Practice Location: 4901 Lang Ave Ne, Albuquerque, NM 87109 Phone: 505-842-8171 |