| Dr Frederick J Jacques, MD | |
| 1631 Hospital Dr, Suite 110, Santa Fe, NM 87505-4728 | |
| (505) 983-3275 | |
| (505) 983-4812 | 
| Full Name | Dr Frederick J Jacques | 
|---|---|
| Gender | Male | 
| Speciality | Anesthesiology | 
| Location | 1631 Hospital Dr, Santa Fe, 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 | 
|---|---|---|---|
| 1962418954 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207L00000X | Anesthesiology | 78-193 (New Mexico) | Primary | 
| Entity Name | Anesthesia Associates Of New Mexico P C | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1912900754 PECOS PAC ID: 4385536564 Enrollment ID: O20040325000455 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr Frederick J Jacques, MD 1631 Hospital Dr, Suite 110, Santa Fe, NM 87505-4728 Ph: (505) 983-3275 | Dr Frederick J Jacques, MD 1631 Hospital Dr, Suite 110, Santa Fe, NM 87505-4728 Ph: (505) 983-3275 | 
| Dr. John C Mullican, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1631 Hospital Dr, Suite 110, Santa Fe, NM 87505 Phone: 505-983-3275 Fax: 505-983-4812 | |
| Dr. Eric V Bendixen, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1631 Hospital Dr, Suite 110, Santa Fe, NM 87505 Phone: 505-983-3275 Fax: 505-983-4812 | |
| William Park, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2990 Rodeo Park Dr E Fl 2, Santa Fe, NM 87505 Phone: 505-982-7246 | |
| Dr. David A Woog, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 4200 Beckner Rd, Santa Fe, NM 87507 Phone: 505-477-2200 | |
| Dr. Barbara A Pero, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1631 Hospital Dr, Suite 110, Santa Fe, NM 87505 Phone: 505-983-3275 Fax: 505-983-4812 | |
| Dr. Kathleen Sara Macdonald, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 455 Saint Michaels Dr, Santa Fe, NM 87505 Phone: 802-316-1644 | |
| Elizabeth Wallen, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 20 Calle Cal, Santa Fe, NM 87508 Phone: 614-266-8533 |