Michael Ray Vandusen, DO | |
801 W Maple St, Farmington, NM 87401 | |
(505) 609-2000 | |
(505) 609-2259 |
Full Name | Michael Ray Vandusen |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Experience | 15 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 |
---|---|---|---|
1205062742 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | N9004 (Texas) | Secondary |
207L00000X | Anesthesiology | A-2141-18 (New Mexico) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
San Juan Regional Medical Center | Farmington, NM | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
San Juan Regional Medical Center, Inc. | 4587559505 | 171 |
Entity Name | San Juan Regional Medical Center, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1639662901 PECOS PAC ID: 4587559505 Enrollment ID: O20040218000865 |
Mailing Address | Practice Location Address |
---|---|
Michael Ray Vandusen, DO Po Box 6210, Farmington, NM 87499-6210 Ph: (505) 609-2258 | Michael Ray Vandusen, DO 801 W Maple St, Farmington, NM 87401 Ph: (505) 609-2000 |
Dr. David P Goldstein, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2300 E 30th St Bldg A, Farmington, NM 87401 Phone: 505-326-6400 Fax: 505-326-4606 | |
Jan A Gotta, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 801 W Maple St, Farmington, NM 87401 Phone: 505-326-6400 Fax: 505-326-4606 | |
Samuel Eric Aikele, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 801 W Maple St, Farmington, NM 87401 Phone: 505-609-2000 | |
Maria Celina Jensen, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1515 E 20th St, Suite A, Farmington, NM 87401 Phone: 505-326-6400 | |
Dr. Joseph Leland Davidson, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 801 W Maple St, Farmington, NM 87401 Phone: 505-609-2000 | |
Charles E Bruerd, D.O. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 801 W Maple St, Farmington, NM 87401 Phone: 505-326-6400 Fax: 505-326-4606 |