| Jeffrey M Ross, Md, Pc | |
|
1670 Cerro Gordo Rd Santa Fe NM 87501-6175 | |
| (505) 988-4349 | |
| (505) 989-7492 |
| Full Name | Jeffrey M Ross, Md, Pc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1670 Cerro Gordo Rd, Santa Fe, New Mexico |
| Authorized Official Name and Position | Jeffrey M. Ross (OWNER) |
| Authorized Official Contact | 5059884349 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jeffrey M Ross, Md, Pc 1670 Cerro Gordo Rd Santa Fe NM 87501-6175 Ph: (505) 988-4349 | Jeffrey M Ross, Md, Pc 1670 Cerro Gordo Rd Santa Fe NM 87501-6175 Ph: (505) 988-4349 |
| NPI Number | 1750558003 |
|---|---|
| Provider Enumeration Date | 05/14/2008 |
| Last Update Date | 11/14/2008 |
| Medicare PECOS PAC ID | 6305919366 |
|---|---|
| Medicare Enrollment ID | O20080724000037 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750558003 | NPI | - | NPPES |
| 1215071766 | Other | INDIVIDUAL NPI | |
| 3087 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 87141 (New Mexico) | Primary |
| Provider Name | Jeffrey M Ross |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1215071766 PECOS PAC ID: 9133292196 Enrollment ID: I20080724000030 |
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