| John L Mccormick, MD | |
|
1115 Central Ave Ne, Pmg Emergency Medicine, Albuquerque, NM 87106-4927 | |
| (505) 841-1125 | |
| (505) 841-1737 |
| Full Name | John L Mccormick |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 1115 Central Ave Ne, Albuquerque, 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 |
|---|---|---|---|
| 1073608246 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 94328 (New Mexico) | Primary |
| Entity Name | Emergency Physicians Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659366649 PECOS PAC ID: 5496669350 Enrollment ID: O20031114000395 |
| Entity Name | Paragon Contracting Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225071459 PECOS PAC ID: 3971417825 Enrollment ID: O20050218000756 |
| Mailing Address | Practice Location Address |
|---|---|
| John L Mccormick, MD Po Box 26666, Phs Provider Enrollment, Albuquerque, NM 87125-6666 Ph: (505) 923-5356 | John L Mccormick, MD 1115 Central Ave Ne, Pmg Emergency Medicine, Albuquerque, NM 87106-4927 Ph: (505) 841-1125 |
Darren M Shafer, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: Pmg Emergency Medicine, 1101 Central Se, Albuquerque, NM 87106 Phone: 505-841-1125 Fax: 505-841-1737 | |
Nicholas Weiss, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1100 Central Ave Se, Emergency Medicine, Albuquerque, NM 87106 Phone: 505-841-1125 Fax: 505-841-1737 | |
Matthew D Poage, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 5400 Gibson Blvd Se, Albuquerque, NM 87108 Phone: 904-805-1300 Fax: 904-805-1302 | |
Matthew Wilks, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: Unm Department Of Emergency Medicine Msc11-6025, 1 University Of New Mexico, Albuquerque, NM 87131 Phone: 505-272-5062 Fax: 505-925-7290 | |
Daniel M. Gee, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 6400 Paseo Del Norte Blvd Ne, Albuquerque, NM 87113 Phone: 505-596-2100 Fax: 505-596-2180 | |
Lauri B Magee, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1100 Central Ave Se, Albuquerque, NM 87106 Phone: 505-841-1125 | |
Dr. Tony B Salazar, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 601 Dr Martin Luther King Jr Ave Ne, Albuquerque, NM 87102 Phone: 505-727-1008 |