Dr Jack Shoup Garland, MD - Medicare Pathology in Taos, NM

Dr Jack Shoup Garland, MD is a medicare enrolled "Pathology - Anatomic Pathology" physician in Taos, New Mexico. His current practice location is 1397 Weimer Rd, Taos, New Mexico. You can reach out to his office (for appointments etc.) via phone at (505) 751-5884.

Dr Jack Shoup Garland is licensed to practice in New Mexico (license number 2002-0370) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1538340005.

Contact Information

Dr Jack Shoup Garland, MD
1397 Weimer Rd,
Taos, NM 87571-6284
(505) 751-5884
(505) 737-3398



Physician's Profile

Full NameDr Jack Shoup Garland
GenderMale
SpecialityPathology - Anatomic Pathology
Location1397 Weimer Rd, Taos, New Mexico
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1538340005
  • Provider Enumeration Date: 11/26/2007
  • Last Update Date: 11/26/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 1850564493
  • Enrollment ID: I20111027000225

Medical Identifiers

Medical identifiers for Dr Jack Shoup Garland such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1538340005NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207ZP0101XPathology - Anatomic Pathology 2002-0370 (New Mexico)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Jack Shoup Garland allows following entities to bill medicare on his behalf.
Entity NameTaos Health Systems Inc Holy Cross Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1194751958
PECOS PAC ID: 8224937412
Enrollment ID: O20040107000398

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Entity NameTaos Health Systems Inc Holy Cross Hospital
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1902338049
PECOS PAC ID: 8224937412
Enrollment ID: O20170424000809

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Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Jack Shoup Garland is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Jack Shoup Garland, MD
1397 Weimer Rd,
Taos, NM 87571-6284

Ph: (505) 751-5884
Dr Jack Shoup Garland, MD
1397 Weimer Rd,
Taos, NM 87571-6284

Ph: (505) 751-5884

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Pathology Doctors in Taos, NM

Patricia Noveck Konrad, MD
Pathology
Medicare: Not Enrolled in Medicare
Practice Location: 1316 Blumenschein Rd, Taos, NM 87571
Phone: 505-758-7876    

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