| Jonathan B Rudolf, MD | |
|
801 W Maple St, Farmington, NM 87401-5630 | |
| (505) 325-5011 | |
| (505) 324-2259 |
| Full Name | Jonathan B Rudolf |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 34 Years |
| Location | 801 W Maple St, Farmington, 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 |
|---|---|---|---|
| 1851366561 | NPI | - | NPPES |
| 97526550 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 2004-0021 (New Mexico) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Animas Surgical Hospital, Llc | Durango, CO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Animas Surgical Hospital Llc | 0143295428 | 52 |
| Entity Name | Usacs Of Colorado Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760415871 PECOS PAC ID: 4981507571 Enrollment ID: O20040130000439 |
| Entity Name | Animas Surgical Hospital Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861721714 PECOS PAC ID: 0143295428 Enrollment ID: O20081114000103 |
| Entity Name | Usacs Community Emergency Services Of Colorado Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053824979 PECOS PAC ID: 2466711536 Enrollment ID: O20180117002329 |
| Mailing Address | Practice Location Address |
|---|---|
| Jonathan B Rudolf, MD 4101 Cristo Rey St, Farmington, NM 87401-8615 Ph: (505) 325-4380 | Jonathan B Rudolf, MD 801 W Maple St, Farmington, NM 87401-5630 Ph: (505) 325-5011 |
Brad J Campbell, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 801 W Maple St, Farmington, NM 87401 Phone: 505-609-2001 Fax: 505-609-2259 | |
Christopher A Gutierrez, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 801 W Maple St, Farmington, NM 87401 Phone: 505-609-2000 | |
Angela Bell, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 801 W Maple St, Farmington, NM 87401 Phone: 505-609-2000 Fax: 505-609-2259 | |
Catherine A Ambrose, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 801 W Maple St, Farmington, NM 87401 Phone: 505-609-2000 Fax: 505-609-2259 | |
Eric M Ketcham, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 801 W Maple St, Farmington, NM 87401 Phone: 505-609-2000 Fax: 505-609-2259 | |
Dr. Brian A. Rike, D.O. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 801 W Maple St, Farmington, NM 87401 Phone: 505-609-2258 | |
Dr. Virginia Elizabeth Harvey, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 801 W Maple St, Farmington, NM 87401 Phone: 505-609-2000 |