Dr James O Gonzales, MD | |
117 Camino De Vida Ste 300, Santa Rosa, NM 88435-2267 | |
(575) 472-4311 | |
(877) 651-0289 |
Full Name | Dr James O Gonzales |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 10 Years |
Location | 117 Camino De Vida Ste 300, Santa Rosa, 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 |
---|---|---|---|
1730507955 | NPI | - | NPPES |
82957053 | Medicaid | NM | |
564431YN9W | Other | NM | MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | MD2016-0688 (New Mexico) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
De Baca Family Practice Clinic | 6406758358 | 6 |
Guadalupe County | 9335118918 | 8 |
Sunrise Clinics | 6800226374 | 22 |
Entity Name | Presbyterian Healthcare Services |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1104802354 PECOS PAC ID: 9234041708 Enrollment ID: O20031103000603 |
Entity Name | De Baca Family Practice Clinic |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003855032 PECOS PAC ID: 6406758358 Enrollment ID: O20040122000409 |
Entity Name | Sunrise Medical Group, Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1124107446 PECOS PAC ID: 6406744028 Enrollment ID: O20040305000978 |
Entity Name | Guadalupe County |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1346249968 PECOS PAC ID: 9335118918 Enrollment ID: O20110629000074 |
Entity Name | Hospitalist Medicine Physicians Of Texas Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1629307095 PECOS PAC ID: 3476688318 Enrollment ID: O20151019001400 |
Entity Name | Sunrise Clinics |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1164055927 PECOS PAC ID: 6800226374 Enrollment ID: O20200423002808 |
Mailing Address | Practice Location Address |
---|---|
Dr James O Gonzales, MD 117 Camino De Vida Ste 300, Santa Rosa, NM 88435-2267 Ph: (575) 472-4311 | Dr James O Gonzales, MD 117 Camino De Vida Ste 300, Santa Rosa, NM 88435-2267 Ph: (575) 472-4311 |
Miranda C Haley, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 117 Camino De Vida, Suite 300, Santa Rosa, NM 88435 Phone: 575-472-4311 | |
Dr. Randal Warren Brown, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 117 Camino De Vida, Suite 300, Santa Rosa, NM 88435 Phone: 505-472-4311 Fax: 505-472-4313 |