| Dr Richard M Kaut, MD | |
|
80 B Veterans Blvd, Acoma, NM 87034 | |
| (505) 552-5300 | |
| (505) 552-5490 |
| Full Name | Dr Richard M Kaut |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 80 B Veterans Blvd, Acoma, 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 |
|---|---|---|---|
| 1114937786 | NPI | - | NPPES |
| H3451 | Medicaid | NM | |
| 00A491760 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | A49176 (California) | Secondary |
| 207P00000X | Emergency Medicine | MD15373 (Maine) | Primary |
| Entity Name | Orchard Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477522019 PECOS PAC ID: 6800709049 Enrollment ID: O20031112000502 |
| Entity Name | Team Physicians Of California Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447288345 PECOS PAC ID: 8224945084 Enrollment ID: O20040920000880 |
| Entity Name | Glenn Medical Center, Inc |
|---|---|
| Entity Type | Part B Supplier - Hospital Department(s) |
| Entity Identifiers | NPI Number: 1336187178 PECOS PAC ID: 3870505035 Enrollment ID: O20070705000269 |
| Entity Name | Clinic Services Of California Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578958450 PECOS PAC ID: 7810209715 Enrollment ID: O20150707001394 |
| Entity Name | Chavez Emergency Physicians Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689045015 PECOS PAC ID: 3870897580 Enrollment ID: O20160201000702 |
| Entity Name | Southland Emergency Medical Associates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932640935 PECOS PAC ID: 9830466796 Enrollment ID: O20220929003208 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Richard M Kaut, MD Po Box 130, San Fidel, NM 87049-0130 Ph: (505) 552-5300 | Dr Richard M Kaut, MD 80 B Veterans Blvd, Acoma, NM 87034 Ph: (505) 552-5300 |
Steadman A Mason, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 80 B Veterans Blvd, Acoma, NM 87034 Phone: 505-552-5300 Fax: 505-552-5490 | |
Dr. I-wen Tseng, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 80 B Veterans Blvd, Acoma, NM 87034 Phone: 505-552-5300 Fax: 505-552-5490 | |
Michael Diantonio, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 80 B Veterans Blvd, Acoma, NM 87034 Phone: 505-552-5300 Fax: 505-552-5490 | |
Dr. Michael E. Rowe, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 80 B Veterans Blvd, Acoma, NM 87034 Phone: 505-552-5300 Fax: 505-552-5490 | |
Dr. Janet I Mcmahon, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 80 B Veterans Blvd, Acoma, NM 87034 Phone: 505-552-5300 Fax: 505-552-5490 | |
Folake O Oluokun, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 80 B Veterans Blvd, Acoma, NM 87034 Phone: 505-552-5300 Fax: 505-552-5490 |