| Mark David Zubres, DO | |
| 
					1 Altura Vista, Santa Fe, NM 87507-7771  | |
| (417) 766-7522 | |
| Not Available | 
| Full Name | Mark David Zubres | 
|---|---|
| Gender | Male | 
| Speciality | Radiology - Diagnostic Radiology | 
| Location | 1 Altura Vista, Santa Fe, 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 | 
|---|---|---|---|
| 1376521740 | NPI | - | NPPES | 
| 000092457 | Other | PINNACLE MEDICARE SERVICE | |
| 242912434 | Medicaid | MO | |
| 211107 | Other | HEALTHLINK INC. | |
| P00254931 | Other | MO | RAILROAD MEDICARE | 
| P00614577 | Other | MO | RAILROAD MEDICARE | 
| 1191801 | Other | MO | BCBS OF MO | 
| 159670003 | Medicaid | AR | |
| 103053593 | Medicaid | PA | |
| 1198060 | Other | FIRST HEALTH | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 2085U0001X | Radiology - Diagnostic Ultrasound | R8N04 (Missouri) | Secondary | 
| 2085R0202X | Radiology - Diagnostic Radiology | 163134 (New York) | Primary | 
| Entity Name | Lower Umpqua Hospital District | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1003874819 PECOS PAC ID: 6800703562 Enrollment ID: O20040212000228  | 
| Entity Name | Bay Area Hospital District | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1225016561 PECOS PAC ID: 2163331000 Enrollment ID: O20040310000301  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Mark David Zubres, DO 1 Altura Vista, Santa Fe, NM 87507-7771 Ph: (417) 766-7522  | Mark David Zubres, DO 1 Altura Vista, Santa Fe, NM 87507-7771 Ph: (417) 766-7522  | 
Dr. Karen S Koolpe, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1640 Hospital Dr, Santa Fe, NM 87505 Phone: 505-983-9350 Fax: 505-955-8763  | |
Dr. Robin J Gaupp, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1640 Hospital Dr, Santa Fe, NM 87505 Phone: 505-983-9350 Fax: 505-955-8763  | |
Mary Ann Rose, MD Radiology Medicare: Medicare Enrolled Practice Location: 455 Saint Michaels Dr, Santa Fe, NM 87505 Phone: 505-913-8900  | |
Bryan W Goss, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 455 Saint Michaels Dr, Santa Fe, NM 87505 Phone: 505-913-5233 Fax: 505-913-6466  | |
Dr. Andrew Phillip Sill, MD Radiology Medicare: Medicare Enrolled Practice Location: 1640 Hospital Dr, Santa Fe, NM 87505 Phone: 505-983-9350  | |
Dr. Richard Manning Morehead Jr., MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 3 Ladera Rd, Santa Fe, NM 87508 Phone: 505-466-2426 Fax: 505-466-3638  |