| Michael David Marx, PA-C | |
|
1501 San Pedro Dr Se, Albuquerque, NM 87108-5153 | |
| (505) 846-3200 | |
| Not Available |
| Full Name | Michael David Marx |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 13 Years |
| Location | 1501 San Pedro Dr Se, Albuquerque, New Mexico |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497015978 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Immediate Care Of Oklahoma Llc | 2668540774 | 34 |
| Ico Primary Care, Llc | 6901240910 | 6 |
| Entity Name | Immediate Care of Oklahoma LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164697694 PECOS PAC ID: 2668540774 Enrollment ID: O20081002000355 |
| Entity Name | Ico Primary Care, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568144996 PECOS PAC ID: 6901240910 Enrollment ID: O20240219000460 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael David Marx, PA-C 7108 Canary Ln Ne, Albuquerque, NM 87109-6006 Ph: (940) 337-6577 | Michael David Marx, PA-C 1501 San Pedro Dr Se, Albuquerque, NM 87108-5153 Ph: (505) 846-3200 |
Audra Dawn Clemens, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1100 Central Ave Se, Albuquerque, NM 87106 Phone: 505-724-6124 Fax: 505-724-6125 |
Jessica Rose Aragon, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 5904 Holly Ave Ne, Albuquerque, NM 87113 Phone: 505-298-2505 |
Elise Nicole Pedigo, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 630 Haines Ave Nw, Albuquerque, NM 87102 Phone: 505-268-5611 Fax: 505-268-5736 |
Samantha Travierso, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1501 San Pedro Dr Se, Albuquerque, NM 87108 Phone: 505-265-1711 |
Mrs. Danielle Kimberly Mccarthy, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 8301 Spain Rd Ne, Albuquerque, NM 87109 Phone: 505-821-6663 |
Ms. Lauren Soules, P.A.-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3615 Highway 528 Nw, Albuquerque, NM 87114 Phone: 505-248-1518 |
Jennifer Lynn Otis, Physician Assistant Medicare: Medicare Enrolled Practice Location: 3741 Rutledge Rd Ne, Albuquerque, NM 87109 Phone: 505-798-9300 Fax: 505-798-0808 |