Jeanne Monique Beyerle
Individual provider Active NPI Physician Assistant · Los Alamos, NM
NPI 1093962300 · NPPES record last updated Dec 30, 2009
Key facts
- NPI
- 1093962300
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- Practice address
- 3917 West Rd Ste 150
Los Alamos, NM 87544-5303 - Phone
- (505) 662-4351
- Fax
- (505) 662-2932
- NPI assigned
- Aug 19, 2008
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Los Alamos Medical Care Clinic LTD
Practice addresses (Care Compare)
3917 W Rd
Suite 150
Los Alamos, NM 87544-5303
Phone (505) 662-4351
Hospital & facility affiliations
- Los Alamos Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NM
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20081201000151 | NM | Practitioner - Physician Assistant | 2264592096 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Interoperability endpoints
- monique.beyerle@lamcc.eclinicaldirectplus.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Yes |
Addresses
Primary practice location
3917 West Rd Ste 150
Los Alamos, NM 87544-5303
Mailing address
3917 West Rd Ste 150
Los Alamos, NM 87544-5303
Phone (505) 662-4351
Other providers in Los Alamos, NM
- Dawn Judy Barr
- Galina Batygina
- Ericka Becker
- Lesley Mendoza Beltran
- Linda Pike Bennett
- Big Dog Solutions LLC
- Erika Bittner
- Bobby Coyne LLC
- Wesley David Boose
- Kristin Marilyn Whited Boyd
All providers in Los Alamos, NM · Physician Assistant in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 30, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.