| Mark Joseph Stevens, DO | |
|
110 Sheep Springs Cir, Jemez Pueblo, NM 87024-0731 | |
| (575) 834-7413 | |
| Not Available |
| Full Name | Mark Joseph Stevens |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 110 Sheep Springs Cir, Jemez Pueblo, 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 |
|---|---|---|---|
| 1013145531 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 2171 (Maine) | Secondary |
| 207Q00000X | Family Medicine | A-1757-13 (New Mexico) | Primary |
| Entity Name | Presbyterian Healthcare Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104802354 PECOS PAC ID: 9234041708 Enrollment ID: O20031103000603 |
| Entity Name | Southwest Integrative Health Center, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083887988 PECOS PAC ID: 6800954819 Enrollment ID: O20081021000034 |
| Entity Name | Ipc Hospitalists Of New Mexico, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578839163 PECOS PAC ID: 6800051509 Enrollment ID: O20120703000044 |
| Entity Name | Stevens Medical Center, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679117352 PECOS PAC ID: 3274968946 Enrollment ID: O20200128000244 |
| Mailing Address | Practice Location Address |
|---|---|
| Mark Joseph Stevens, DO 110 Sheep Springs Cir, Jemez Pueblo, NM 87024-0731 Ph: (575) 834-7413 | Mark Joseph Stevens, DO 110 Sheep Springs Cir, Jemez Pueblo, NM 87024-0731 Ph: (575) 834-7413 |
Gregory L Darrow, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 110 Sheep Springs Way, Jemez Pueblo, NM 87024 Phone: 575-834-7413 | |
Dr. David Lawrence Tempest, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 110 Sheep Springs Way, Jemez Pueblo, NM 87024 Phone: 575-834-7413 Fax: 575-834-3081 | |
Michael Hennelly, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 110 Sheep Springs, Jemez Pueblo, NM 87024 Phone: 575-834-7413 Fax: 575-834-7517 |