Mr Timothy J Vanderjagt, MD | |
455 Saint Michaels Dr, Santa Fe, NM 87505-7601 | |
(505) 820-5274 | |
Not Available |
Full Name | Mr Timothy J Vanderjagt |
---|---|
Gender | Male |
Speciality | Pathology |
Experience | 23 Years |
Location | 455 Saint Michaels Dr, Santa Fe, 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 |
---|---|---|---|
1780876540 | NPI | - | NPPES |
21079021 | Medicaid | NM | |
NM001G14 | Other | NM | BCBS OF NM |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | MD2007-0397 (New Mexico) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Christus St Vincent Regional Medical Center | Santa fe, NM | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Santa Fe Pathology Services Pa | 6709820285 | 4 |
Entity Name | Santa Fe Pathology Services Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043308810 PECOS PAC ID: 6709820285 Enrollment ID: O20050615000595 |
Mailing Address | Practice Location Address |
---|---|
Mr Timothy J Vanderjagt, MD 465 Saint Michaels Dr, Suite 115, Santa Fe, NM 87505-7670 Ph: (505) 986-8620 | Mr Timothy J Vanderjagt, MD 455 Saint Michaels Dr, Santa Fe, NM 87505-7601 Ph: (505) 820-5274 |
Dr. Stanford P Marenberg, PH.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 2000 Vivigen Way, Santa Fe, NM 87505 Phone: 505-438-2156 | |
Dr. Herbert Clark Anderson, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 455 St Michaels Drive, Santa Fe, NM 87505 Phone: 505-986-8620 Fax: 505-820-2461 | |
John B Lowe, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 9 Goldpoppy Cir, Santa Fe, NM 87506 Phone: 650-303-4273 | |
Dr. Lynn Ann Rogers, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 455 Saint Michaels Dr, Santa Fe, NM 87505 Phone: 505-986-8620 Fax: 505-820-2461 | |
Dr. Theresa Christine Smith, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 455 Saint Michaels Dr, Santa Fe, NM 87505 Phone: 505-820-5202 | |
Dr. Jack Everett Zwemer, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 455 Saint Michaels Dr, Santa Fe, NM 87505 Phone: 505-986-8620 Fax: 505-820-2461 |