| Dr Mark Edward Dwinell, MD | |
|
407 S Schwartz Ave, Suite 201, Farmington, NM 87401-5925 | |
| (505) 609-6730 | |
| (505) 609-6749 |
| Full Name | Dr Mark Edward Dwinell |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Location | 407 S Schwartz Ave, Farmington, 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 |
|---|---|---|---|
| 1639106099 | NPI | - | NPPES |
| 1049637-01 | Medicaid | TX | |
| 104963701 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | MD2013-0979 (New Mexico) | Primary |
| Entity Name | Preventative Care Health Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013196625 PECOS PAC ID: 5193823045 Enrollment ID: O20091110000495 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Mark Edward Dwinell, MD Po Box 6210, Farmington, NM 87499-6210 Ph: (505) 609-2258 | Dr Mark Edward Dwinell, MD 407 S Schwartz Ave, Suite 201, Farmington, NM 87401-5925 Ph: (505) 609-6730 |
Dr. Erin Kealey Philpott, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 801 W Maple St, Farmington, NM 87401 Phone: 505-609-6463 Fax: 505-609-2259 | |
Joshua Turner, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 801 W Maple St, Farmington, NM 87401 Phone: 505-609-2000 | |
Charles Hoffman, MD Internal Medicine 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 Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 801 W Maple St, Farmington, NM 87401 Phone: 505-609-6463 | |
Dr. Patrice Alexa Zigrossi, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 801 W Maple St, Farmington, NM 87401 Phone: 505-609-2000 | |
Dr. Meho Jasarevic, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 801 W Maple St, Farmington, NM 87401 Phone: 505-609-2000 | |
Dr. Franklin Lam, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 812 W Maple St, Farmington, NM 87401 Phone: 053-266-5215 Fax: 505-325-6699 |