| Jiasen Wang, MD | |
|
8316 Kaseman Ct Ne, Albuquerque, NM 87110-7639 | |
| (505) 292-5850 | |
| Not Available |
| Full Name | Jiasen Wang |
|---|---|
| Gender | Male |
| Speciality | Dermatology |
| Experience | 7 Years |
| Location | 8316 Kaseman Ct Ne, Albuquerque, 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 |
|---|---|---|---|
| 1760045355 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207N00000X | Dermatology | MD2023-1076 (New Mexico) | Primary |
| 207N00000X | Dermatology | A186212 (California) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Providence Saint John's Health Center | Santa monica, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Richard G Bennett Md | 5496785792 | 5 |
| Epiphany Dermatology Of New Mexico, Llc | 4082919691 | 26 |
| Metro East Dermatology And Skin Cancer Center Llc | 9739451956 | 8 |
| Entity Name | Richard G Bennett Md |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467508523 PECOS PAC ID: 5496785792 Enrollment ID: O20050816001130 |
| Mailing Address | Practice Location Address |
|---|---|
| Jiasen Wang, MD 7300 Ranch Rd. 2222, Bldg 1, Ste 200, Austin, TX 78730-3255 Ph: (512) 628-0465 | Jiasen Wang, MD 8316 Kaseman Ct Ne, Albuquerque, NM 87110-7639 Ph: (505) 292-5850 |
Dr. Willliam F Willis, M.D. Dermatology Medicare: Not Enrolled in Medicare Practice Location: 7520 Montgomery Blvd Ne, Albuquerque, NM 87109 Phone: 505-884-7070 Fax: 505-884-6018 | |
R. Steven Padilla, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 1021 Medical Arts Ave Ne, Albuquerque, NM 87102 Phone: 505-272-4947 | |
Phillip Strange, MD Dermatology Medicare: Medicare Enrolled Practice Location: 1021 Medical Arts Ave Ne, Msc09 4240, Albuquerque, NM 87102 Phone: 505-272-6222 | |
Carol Purcell, PA-C Dermatology Medicare: Accepting Medicare Assignments Practice Location: 10151 Montgomery Blvd Ne Bldg 1, Suite A, Albuquerque, NM 87111 Phone: 505-855-5503 Fax: 505-855-5533 | |
Dr. Heidi Elizabeth Fleischmann, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 7520 Montgomery Blvd Ne, Bldg D4, Albuquerque, NM 87109 Phone: 505-884-7070 Fax: 505-884-6018 | |
Shelly Ann Stepenaskie, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1001 Woodward Pl Ne, Albuquerque, NM 87102 Phone: 505-938-8296 Fax: 505-938-8688 | |
Dr. C.g. Elliott Foucar, M.D. Dermatology Medicare: Not Enrolled in Medicare Practice Location: 14029 Wind Mountain Rd Ne, Albuquerque, NM 87112 Phone: 505-275-1395 Fax: 595-275-1395 |