| Mason Friend, | |
|
455 Saint Michaels Dr, Santa Fe, NM 87505-7601 | |
| (800) 541-6682 | |
| Not Available |
| Full Name | Mason Friend |
|---|---|
| Gender | Male |
| Speciality | Anesthesiologist Assistant |
| 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 |
|---|---|---|---|
| 1417636283 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367H00000X | Anesthesiologist Assistant | AA2023-0016 (New Mexico) | Primary |
| Entity Name | St Vincent Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578587150 PECOS PAC ID: 6608775135 Enrollment ID: O20040105000372 |
| Entity Name | Unm Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831218627 PECOS PAC ID: 4981795267 Enrollment ID: O20070801000589 |
| Mailing Address | Practice Location Address |
|---|---|
| Mason Friend, 455 Saint Michaels Dr, Santa Fe, NM 87505-7601 Ph: (800) 541-6682 | Mason Friend, 455 Saint Michaels Dr, Santa Fe, NM 87505-7601 Ph: (800) 541-6682 |
Victoria Morgan Kucek, PAA Anesthesiologist Assistant Medicare: Medicare Enrolled Practice Location: 455 Saint Michaels Dr, Santa Fe, NM 87505 Phone: 505-913-3361 | |
Frank Cameron Snyder, AA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 455 Saint Michaels Dr, Santa Fe, NM 87505 Phone: 505-913-3361 | |
Ms. Emily Bowling, AA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 118 San Salvador Ln, Santa Fe, NM 87501 Phone: 740-646-8366 | |
Ms. Lindsey Christina Diaz, P.A.A. Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 455 Saint Michaels Dr, Santa Fe, NM 87505 Phone: 505-913-4919 | |
Daniel Wentland, Anesthesiologist Assistant Medicare: Not Enrolled in Medicare Practice Location: 455 Saint Michaels Dr, Santa Fe, NM 87505 Phone: 505-913-3361 |