| Dr Jeffrey D Neidhart, MD | |
|
2325 E 30th St, Farmington, NM 87401-8900 | |
| (505) 564-6850 | |
| (505) 564-6890 |
| Full Name | Dr Jeffrey D Neidhart |
|---|---|
| Gender | Male |
| Speciality | Hematology/oncology |
| Experience | 23 Years |
| Location | 2325 E 30th St, Farmington, 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 |
|---|---|---|---|
| 1801972518 | NPI | - | NPPES |
| 38022222 | Medicaid | NM | |
| 93002840 | Medicaid | CO | |
| NM019A39 | Other | NM | BLUE CROSS OF NEW MEXICO |
| T0445 | Medicaid | UT | |
| 764086 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RH0003X | Internal Medicine - Hematology & Oncology | 2002-0176 (New Mexico) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| San Juan Regional Medical Center | Farmington, NM | Hospital |
| Mercy Regional Medical Center | Durango, CO | Hospital |
| Southwest Memorial Hospital | Cortez, CO | Hospital |
| Animas Surgical Hospital, Llc | Durango, CO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| San Juan Oncology Associates Pc | 6709860380 | 3 |
| San Juan Oncology Associates Pc | 6709860380 | 3 |
| Entity Name | San Juan Oncology Associates P.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558446187 PECOS PAC ID: 6709860380 Enrollment ID: O20040614000723 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jeffrey D Neidhart, MD Po Box 1799, Farmington, NM 87499 Ph: (505) 564-6850 | Dr Jeffrey D Neidhart, MD 2325 E 30th St, Farmington, NM 87401-8900 Ph: (505) 564-6850 |
Dr. Erin Kealey Philpott, D.O. Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 801 W Maple St, Farmington, NM 87401 Phone: 505-609-6463 Fax: 505-609-2259 | |
Joshua Turner, DO Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 801 W Maple St, Farmington, NM 87401 Phone: 505-609-2000 | |
Charles Hoffman, MD Hematology & Oncology 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 Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 801 W Maple St, Farmington, NM 87401 Phone: 505-609-6463 | |
Dr. Patrice Alexa Zigrossi, M.D. Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 801 W Maple St, Farmington, NM 87401 Phone: 505-609-2000 | |
Dr. Meho Jasarevic, M.D. Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 801 W Maple St, Farmington, NM 87401 Phone: 505-609-2000 | |
Dr. Franklin Lam, M.D. Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 812 W Maple St, Farmington, NM 87401 Phone: 053-266-5215 Fax: 505-325-6699 |