| Mary Ann Rose, MD | |
|
455 Saint Michaels Dr, Santa Fe, NM 87505-7601 | |
| (505) 913-8900 | |
| Not Available |
| Full Name | Mary Ann Rose |
|---|---|
| Gender | Female |
| Speciality | Radiology - Radiation Oncology |
| Location | 455 Saint Michaels Dr, 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 |
|---|---|---|---|
| 1114901469 | NPI | - | NPPES |
| 00C431110 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0001X | Radiology - Radiation Oncology | C43111 (California) | Secondary |
| 2085R0001X | Radiology - Radiation Oncology | MD2015-0619 (New Mexico) | Primary |
| Entity Name | Phc-las Cruces Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164445136 PECOS PAC ID: 4486635802 Enrollment ID: O20040624000297 |
| Mailing Address | Practice Location Address |
|---|---|
| Mary Ann Rose, MD 455 Saint Michaels Dr, Santa Fe, NM 87505-7601 Ph: () - | Mary Ann Rose, MD 455 Saint Michaels Dr, Santa Fe, NM 87505-7601 Ph: (505) 913-8900 |
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 | |
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 | |
Mark David Zubres, D.O. Radiology Medicare: Medicare Enrolled Practice Location: 1 Altura Vista, Santa Fe, NM 87507 Phone: 417-766-7522 | |
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 |