Mr John K Clayshulte Iii, PA-C | |
2240 Grande Blvd Se Ste 106, Rio Rancho, NM 87124-1751 | |
(505) 545-6741 | |
Not Available |
Full Name | Mr John K Clayshulte Iii |
---|---|
Gender | Male |
Speciality | Physician Assistant |
Experience | 11 Years |
Location | 2240 Grande Blvd Se Ste 106, Rio Rancho, 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 |
---|---|---|---|
1700033156 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363A00000X | Physician Assistant | PA2014-0058 (New Mexico) | Primary |
363A00000X | Physician Assistant | 60632876 (Washington) | Secondary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Epiphany Dermatology Of New Mexico, Llc | 4082919691 | 25 |
Mailing Address | Practice Location Address |
---|---|
Mr John K Clayshulte Iii, PA-C 7300 Ranch Road 2222, Bldg 1, Ste 200, Austin, TX 78730-3255 Ph: (512) 759-8932 | Mr John K Clayshulte Iii, PA-C 2240 Grande Blvd Se Ste 106, Rio Rancho, NM 87124-1751 Ph: (505) 545-6741 |
Kimberley B. Oldewage, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1350 Jackie Road Ste 101, Westside Family Medicine, Rio Rancho, NM 87124 Phone: 505-892-7518 Fax: 505-892-9092 | |
Rebecca Lynn Bourbon, P.A.-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4005 High Resort Blvd Se, Rio Rancho, NM 87124 Phone: 505-462-6000 Fax: 505-462-8472 | |
Daniel Ray Spohn, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1630 Rio Rancho Dr Se, Rio Rancho, NM 87124 Phone: 505-395-5520 | |
Alisha Plummer, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 3001 Broadmoor Blvd Ne, Rio Rancho, NM 87144 Phone: 505-994-7607 Fax: 505-994-7255 | |
Sydney Rose George, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2400 Unser Blvd Se, Ste 18200, Rio Rancho, NM 87124 Phone: 505-563-6565 | |
Martin Lee Taylor, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 914 Pinehurst Road Se, Suite 102, Rio Rancho, NM 87124 Phone: 505-896-9412 Fax: 505-896-2505 | |
Lauren E. Atkinson, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2400 Unser Blvd Se, Rio Rancho, NM 87124 Phone: 505-253-6100 |