| Dr Mary Jo Young, MD | |
|
Holy Cross Medical Center Primary Care Clinic, 1329 Gusdorf Road, Taos, NM 87571 | |
| (575) 737-3416 | |
| (575) 737-3416 |
| Full Name | Dr Mary Jo Young |
|---|---|
| Gender | Female |
| Speciality | Internal Medicine |
| Location | Holy Cross Medical Center Primary Care Clinic, Taos, 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 |
|---|---|---|---|
| 1386771954 | NPI | - | NPPES |
| 95673768 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | MD2023-1249 (New Mexico) | Primary |
| 207R00000X | Internal Medicine | 37019 (Colorado) | Secondary |
| Entity Name | Cirrusmd Medical Group Of Delaware Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922664200 PECOS PAC ID: 9335504646 Enrollment ID: O20230609002868 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Mary Jo Young, MD Holy Cross Medical Center Primary Care Clinic, 1329 Gusdorf Road, Taos, NM 87571 Ph: (575) 737-3415 | Dr Mary Jo Young, MD Holy Cross Medical Center Primary Care Clinic, 1329 Gusdorf Road, Taos, NM 87571 Ph: (575) 737-3416 |
Ashley D Pond, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1397a Weimer Rd, Dd, Taos, NM 87571 Phone: 505-758-8883 | |
Geilan Ismail, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1399 Weimer Rd, Suite 200, Taos, NM 87571 Phone: 505-758-2224 | |
Dr. Neal Matthew Friedman, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1399 Weimer Rd Ste 200, Taos, NM 87571 Phone: 575-758-2224 Fax: 575-758-4903 | |
Jemery L. Kaufman, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1399 Weimer Rd, Suite 200, Taos, NM 87571 Phone: 505-758-2224 | |
H. William Adkison, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 735 Via Manzana, Taos, NM 87571 Phone: 505-758-2224 Fax: 505-758-4903 | |
John D Foster, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1397 Weimer Rd, Taos, NM 87571 Phone: 575-751-8900 Fax: 575-751-3723 |