| Dr Mary Ellen Slaughter, MD | |
|
3917 West Rd, Suite 128, Los Alamos, NM 87544-2275 | |
| (505) 662-4234 | |
| (505) 662-7894 |
| Full Name | Dr Mary Ellen Slaughter |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 3917 West Rd, Los Alamos, 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 |
|---|---|---|---|
| 1922092139 | NPI | - | NPPES |
| 51342 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 93243 (New Mexico) | Primary |
| Entity Name | Dhhs Phs Naihs Crownpoint Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114960093 PECOS PAC ID: 0143128041 Enrollment ID: O20031230000393 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Mary Ellen Slaughter, MD 3917 West Rd, Suite 128, Los Alamos, NM 87544-2275 Ph: (505) 662-4234 | Dr Mary Ellen Slaughter, MD 3917 West Rd, Suite 128, Los Alamos, NM 87544-2275 Ph: (505) 662-4234 |
Dr. Michael W Nichols, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3917 West Rd, #128, Los Alamos, NM 87544 Phone: 505-662-4234 Fax: 505-682-7894 | |
Dr. Shelley P Schoonover, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3917 West Rd, Ste 128, Los Alamos, NM 87544 Phone: 505-662-4234 Fax: 505-662-7894 | |
Dr. John Bennett Neal, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3917 West Rd, #128, Los Alamos, NM 87544 Phone: 505-662-3073 Fax: 505-662-7894 | |
Dr. Jacqueline Anne Krohn, MD MPH Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3917 West Rd, Suite 136, Los Alamos, NM 87544 Phone: 505-662-9620 Fax: 505-662-0024 |