| Charles Braun, MD | |
|
801 W Maple St, San Juan Regional Medical Center / Hospitalists, Farmington, NM 87401-5630 | |
| (505) 609-6463 | |
| Not Available |
| Full Name | Charles Braun |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine - Critical Care Medicine |
| Location | 801 W Maple St, Farmington, 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 |
|---|---|---|---|
| 1841278231 | NPI | - | NPPES |
| 85031326887301A022 | Other | CHAMPUS | |
| NM009570 | Other | NM | BC/BS |
| 290013840 | Other | RAILROAD MEDICARE | |
| 10002483 | Other | NM | LOVELACE HEALTH/SALUD |
| 201033382 | Other | NM | PRESBYTERIAN HEALTH/SALUD |
| 595796 | Other | AZ | AHCCCS |
| G5853 | Medicaid | NM | |
| PROVP11372 | Other | NM | MOLINA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RC0200X | Internal Medicine - Critical Care Medicine | 82-15 (New Mexico) | Primary |
| 207RP1001X | Internal Medicine - Pulmonary Disease | 82-15 (New Mexico) | Secondary |
| 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 |
|---|---|
| Charles Braun, MD Po Box 6210, Farmington, NM 87499-6210 Ph: (505) 609-2258 | Charles Braun, MD 801 W Maple St, San Juan Regional Medical Center / Hospitalists, Farmington, NM 87401-5630 Ph: (505) 609-6463 |
Dr. Erin Kealey Philpott, D.O. Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 801 W Maple St, Farmington, NM 87401 Phone: 505-609-6463 Fax: 505-609-2259 | |
Joshua Turner, DO Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 801 W Maple St, Farmington, NM 87401 Phone: 505-609-2000 | |
Charles Hoffman, MD Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 801 W Maple St, Farmington, NM 87401 Phone: 505-609-6463 Fax: 505-609-6474 | |
Villa Auleen Del Carmen, MD Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 801 W Maple St, Farmington, NM 87401 Phone: 505-609-6463 | |
Dr. Patrice Alexa Zigrossi, M.D. Critical Care Medicine Medicare: Medicare Enrolled Practice Location: 801 W Maple St, Farmington, NM 87401 Phone: 505-609-2000 | |
Dr. Meho Jasarevic, M.D. Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 801 W Maple St, Farmington, NM 87401 Phone: 505-609-2000 | |
Dr. Franklin Lam, M.D. Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 812 W Maple St, Farmington, NM 87401 Phone: 053-266-5215 Fax: 505-325-6699 |