| Dr Mark Bevan, MD | |
|
812 W Maple St, Farmington, NM 87401-5631 | |
| (505) 326-6521 | |
| (505) 325-6699 |
| Full Name | Dr Mark Bevan |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 49 Years |
| Location | 812 W Maple 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 |
|---|---|---|---|
| 1720185788 | NPI | - | NPPES |
| T0078 | Medicaid | UT | |
| 23325 | Medicaid | NM | |
| 225442 | Medicaid | AZ | |
| 91082115 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RN0300X | Internal Medicine - Nephrology | 82-11 (New Mexico) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Four Corners Dialysis Farmington (dva) | Farmington, NM | Dialysis facility |
| Shiprock Dialysis (dva) | Shiprock, NM | Dialysis facility |
| Four Corners Dial Clinic Kayenta (dva) | Kayenta, AZ | Dialysis facility |
| Chinle Comprehensive Health Care Facility | Chinle, AZ | Hospital |
| San Juan Regional Medical Center | Farmington, NM | Hospital |
| Tuba City Regional Health Care Corporation | Tuba city, AZ | Hospital |
| Northern Navajo Medical Center | Shiprock, NM | Hospital |
| Blue Mountain Hospital | Blanding, UT | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Dhhs Phs Naihs Shiprock Hospital | 0749193837 | 119 |
| Kayenta Alternative Rural Hospital | 3678558129 | 20 |
| Tuba City Regional Health Care Corporation | 4284542531 | 151 |
| Dhhs Phs Naihs Chinle Comprehensive Health Care Facility | 9436062585 | 146 |
| Four Corners Nephrology Associates Pc | 6204721731 | 4 |
| Four Corners Nephrology Associates Pc | 6204721731 | 4 |
| Four Corners Nephrology Associates Pc | 6204721731 | 4 |
| Four Corners Nephrology Associates Pc | 6204721731 | 4 |
| Entity Name | Tuba City Regional Health Care Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548294424 PECOS PAC ID: 4284542531 Enrollment ID: O20031105000107 |
| Entity Name | Dhhs Phs Naihs Shiprock Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780639971 PECOS PAC ID: 0749193837 Enrollment ID: O20031105000809 |
| Entity Name | Dhhs Phs Naihs Chinle Comprehensive Health Care Facility |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508800129 PECOS PAC ID: 9436062585 Enrollment ID: O20031106000210 |
| Entity Name | Kayenta Alternative Rural Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174692529 PECOS PAC ID: 3678558129 Enrollment ID: O20040621000422 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Mark Bevan, MD 622 W Maple St Ste H, Farmington, NM 87401-6589 Ph: (505) 326-6521 | Dr Mark Bevan, MD 812 W Maple St, Farmington, NM 87401-5631 Ph: (505) 326-6521 |
Dr. Erin Kealey Philpott, D.O. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 801 W Maple St, Farmington, NM 87401 Phone: 505-609-6463 Fax: 505-609-2259 | |
Joshua Turner, DO Nephrology Medicare: Accepting Medicare Assignments Practice Location: 801 W Maple St, Farmington, NM 87401 Phone: 505-609-2000 | |
Charles Hoffman, MD Nephrology 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 Nephrology Medicare: Accepting Medicare Assignments Practice Location: 801 W Maple St, Farmington, NM 87401 Phone: 505-609-6463 | |
Dr. Patrice Alexa Zigrossi, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 801 W Maple St, Farmington, NM 87401 Phone: 505-609-2000 | |
Dr. Meho Jasarevic, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 801 W Maple St, Farmington, NM 87401 Phone: 505-609-2000 | |
Dr. Franklin Lam, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 812 W Maple St, Farmington, NM 87401 Phone: 053-266-5215 Fax: 505-325-6699 |