| David W Fairbanks, MD | |
|
203 Hospital Dr, Raton, NM 87740-2012 | |
| (575) 445-7720 | |
| (575) 445-7737 |
| Full Name | David W Fairbanks |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 36 Years |
| Location | 203 Hospital Dr, Raton, 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 |
|---|---|---|---|
| 1700989969 | NPI | - | NPPES |
| 87155028 | Medicaid | NM | |
| 3810005265 | Medicaid | WV |
| Facility Name | Location | Facility Type |
|---|---|---|
| Miners' Colfax Medical Center | Raton, NM | Hospital |
| Jennie Stuart Medical Center | Hopkinsville, KY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Fep Of Kentucky Llc | 8123473626 | 21 |
| Miners' Colfax Medical Center | 5294647400 | 16 |
| Entity Name | Fep Of Kentucky Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770266553 PECOS PAC ID: 8123473626 Enrollment ID: O20231018000380 |
| Mailing Address | Practice Location Address |
|---|---|
| David W Fairbanks, MD 203 Hospital Dr, Raton, NM 87740-2012 Ph: (575) 445-7720 | David W Fairbanks, MD 203 Hospital Dr, Raton, NM 87740-2012 Ph: (575) 445-7720 |
Lee C Caruana, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 411 S 3rd St, Raton, NM 87740 Phone: 575-445-3626 Fax: 575-445-8649 | |
Dr. Douglas Craig Smith, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 203 Hospital Dr, Raton, NM 87740 Phone: 575-445-3661 Fax: 575-445-7737 | |
Dr. Donald Primer, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 203 Hospital Dr, Raton, NM 87740 Phone: 575-445-7720 Fax: 575-445-7737 | |
Dr. Christopher Johnson, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 190 Hospital Dr, Raton, NM 87740 Phone: 505-445-0279 Fax: 505-445-0285 |