| Spencer Terence Debauche, | |
|
801 W Maple St, Farmington, NM 87401-5630 | |
| (505) 609-2000 | |
| Not Available |
| Full Name | Spencer Terence Debauche |
|---|---|
| Gender | Male |
| Speciality | Hospitalist |
| Experience | 6 Years |
| Location | 801 W Maple St, Farmington, New Mexico |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780143818 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208M00000X | Hospitalist | DO2022-0036 (New Mexico) | Primary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| San Juan Regional Medical Center | Farmington, NM | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| San Juan Regional Medical Center, Inc. | 4587559505 | 183 |
| 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 |
|---|---|
| Spencer Terence Debauche, Po Box 844088, Dallas, TX 75284-4088 Ph: (505) 609-2258 | Spencer Terence Debauche, 801 W Maple St, Farmington, NM 87401-5630 Ph: (505) 609-2000 |
Shay Beck, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 801 W Maple St, Farmington, NM 87401 Phone: 505-609-2000 | |
Mikelle B Rogers, DO Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 801 W Maple St, Farmington, NM 87401 Phone: 505-609-2000 | |
Dr. Lauretha Uzoamaka Rogers, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 801 W Maple St, Farmington, NM 87401 Phone: 505-609-6772 Fax: 505-609-6474 | |
Amy Plagge, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 801 W Maple St, Farmington, NM 87401 Phone: 505-609-6463 |