| Jared L Rasmussen, | |
|
103 E Medicine Way, Peridot, AZ 85542-8554 | |
| (928) 475-1400 | |
| Not Available |
| Full Name | Jared L Rasmussen |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner - Family |
| Location | 103 E Medicine Way, Peridot, Arizona |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437651999 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | AP10994 (Arizona) | Primary |
| Entity Name | San Carlos Apache Healthcare Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265813075 PECOS PAC ID: 0648580597 Enrollment ID: O20151105002091 |
| Mailing Address | Practice Location Address |
|---|---|
| Jared L Rasmussen, 3513 W Church St, Thatcher, AZ 85552-5644 Ph: (928) 965-2772 | Jared L Rasmussen, 103 E Medicine Way, Peridot, AZ 85542-8554 Ph: (928) 475-1400 |
Tanisha Danielle Morales, NURSE PRACTITIONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 103 Medicine Way Rd, Peridot, AZ 85542 Phone: 928-475-1400 | |
Leloole Sole Barika, F.N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 103 Medicine Way Road, Peridot, AZ 85542 Phone: 928-475-1400 | |
Jessica M Madrid-warden, NP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 103 Medicine Way Road, Peridot, AZ 85542 Phone: 928-475-1400 | |
Anthony Robert Paul, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 103 Medicine Way Road, Peridot, AZ 85542 Phone: 928-475-1200 | |
Camilee Hayes, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 103 Medicine Way Rd, Peridot, AZ 85542 Phone: 928-475-1400 | |
Mr. Manuel Jaymenn Abeyta, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 103 Medicine Way Rd, Peridot, AZ 85542 Phone: 928-475-1400 |