| Gary Jacques, MD | |
|
3917 West Rd Ste A, Los Alamos, NM 87544-2292 | |
| (505) 661-8900 | |
| (505) 661-8916 |
| Full Name | Gary Jacques |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Location | 3917 West Rd Ste A, 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 |
|---|---|---|---|
| 1407962061 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | MD2018-0710 (New Mexico) | Primary |
| Entity Name | Medical Associates Of Northern New Mexico |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073501508 PECOS PAC ID: 1557354339 Enrollment ID: O20040407000155 |
| Mailing Address | Practice Location Address |
|---|---|
| Gary Jacques, MD 3917 West Rd Ste A, Los Alamos, NM 87544-2292 Ph: (505) 661-8900 | Gary Jacques, MD 3917 West Rd Ste A, Los Alamos, NM 87544-2292 Ph: (505) 661-8900 |
Dr. Ann Carolyn Linnebur, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3917 West Rd, Suite A, Los Alamos, NM 87544 Phone: 505-661-8900 Fax: 505-661-8916 | |
Dr. Molly Vosburg, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3917 West Rd, Suite A, Los Alamos, NM 87544 Phone: 505-661-8900 Fax: 505-661-8916 | |
Dr. Laurence Goddard, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 3917 West Rd, Suite A, Los Alamos, NM 87544 Phone: 505-661-8900 Fax: 505-661-8916 | |
Dr. Aparimita Lahiri, MBBS/M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 118 Central Park Square, Los Alamos, NM 87544 Phone: 505-662-4798 Fax: 505-661-9637 | |
Dr. Madhavi Garimella, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3917 West Rd, Suite A, Los Alamos, NM 87544 Phone: 505-661-8900 Fax: 505-661-8961 | |
Dr. Keeley Miller Power, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3917 West Rd, Suite A, Los Alamos, NM 87544 Phone: 505-661-8900 Fax: 505-661-8916 | |
Dr. Miguel T Dozier, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 3917 West Road, Ste 128, Los Alamos, NM 87544 Phone: 505-662-4234 Fax: 505-662-7894 |