| Samuel Eric Aikele, MD | |
|
801 W Maple St, Farmington, NM 87401-5630 | |
| (505) 609-2000 | |
| Not Available |
| Full Name | Samuel Eric Aikele |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Location | 801 W Maple St, Farmington, 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 |
|---|---|---|---|
| 1407817984 | NPI | - | NPPES |
| 100510473 | Medicaid | NV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | 11952 (Nevada) | Secondary |
| 207L00000X | Anesthesiology | MD2023-0636 (New Mexico) | Primary |
| Entity Name | San Juan Regional Medical Center, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639662901 PECOS PAC ID: 4587559505 Enrollment ID: O20040218000865 |
| Mailing Address | Practice Location Address |
|---|---|
| Samuel Eric Aikele, MD Po Box 844088, Dallas, TX 75284-4088 Ph: (505) 609-2258 | Samuel Eric Aikele, MD 801 W Maple St, Farmington, NM 87401-5630 Ph: (505) 609-2000 |
Michael Ray Vandusen, D.O. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 801 W Maple St, Farmington, NM 87401 Phone: 505-609-2000 Fax: 505-609-2259 | |
Dr. Ethan Walter Scott, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 801 W Maple St, Farmington, NM 87401 Phone: 505-609-2000 | |
Dr. David P Goldstein, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2300 E 30th St Bldg A, Farmington, NM 87401 Phone: 505-326-6400 Fax: 505-326-4606 | |
Jan A Gotta, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 801 W Maple St, Farmington, NM 87401 Phone: 505-326-6400 Fax: 505-326-4606 | |
Maria Celina Jensen, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1515 E 20th St, Suite A, Farmington, NM 87401 Phone: 505-326-6400 | |
Dr. Joseph Leland Davidson, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 801 W Maple St, Farmington, NM 87401 Phone: 505-609-2000 |