East West Health - Abq Llc is a medicare enrolled "Physical Medicine & Rehabilitation" provider in Albuquerque, New Mexico. Their current practice location is
1500 Lomas Blvd Nw Ste B, Albuquerque, New Mexico. You can reach out to their office (for appointments etc.) via phone at
(505) 503-6490.
East West Health - Abq Llc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. East West Health - Abq Llc
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1346886116.
Healthcare Provider's Profile
| Full Name | East West Health - Abq Llc |
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| Type | Facility |
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| Speciality | Physical Medicine & Rehabilitation |
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| Location | 1500 Lomas Blvd Nw Ste B, Albuquerque, New Mexico |
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| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1346886116
- Provider Enumeration Date: 11/26/2019
- Last Update Date: 11/26/2019
Medicare PECOS Information:
- PECOS PAC ID: 8426483637
- Enrollment ID: O20200116001511
Medical Identifiers
Medical identifiers for East West Health - Abq Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1346886116 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 171100000X | Acupuncturist | (* (Not Available)) | Secondary |
| 208100000X | Physical Medicine & Rehabilitation | (* (Not Available)) | Primary |
| 208D00000X | General Practice | (* (Not Available)) | Secondary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
East West Health - Abq Llc acts as a billing entity for following providers:
| Provider Name | Patricia Conkling |
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| Provider Type | Practitioner - Nurse Practitioner |
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| Provider Identifiers | NPI Number: 1356332365
PECOS PAC ID: 7315933033
Enrollment ID: I20040423000530 |
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| Provider Name | Brynn J Duerden |
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| Provider Type | Practitioner - Emergency Medicine |
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| Provider Identifiers | NPI Number: 1528232154
PECOS PAC ID: 7618115072
Enrollment ID: I20130718000202 |
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| Provider Name | Koryn K Michaud |
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| Provider Type | Practitioner - Nurse Practitioner |
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| Provider Identifiers | NPI Number: 1750781316
PECOS PAC ID: 7113279696
Enrollment ID: I20181010003518 |
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| Provider Name | Chona Miller |
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| Provider Type | Practitioner - Nurse Practitioner |
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| Provider Identifiers | NPI Number: 1023620143
PECOS PAC ID: 2365862919
Enrollment ID: I20201020001544 |
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| Provider Name | Katrina Olivas |
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| Provider Type | Practitioner - Nurse Practitioner |
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| Provider Identifiers | NPI Number: 1609467182
PECOS PAC ID: 7517373723
Enrollment ID: I20210315000649 |
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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. East West Health - Abq Llc 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 Address | Practice Location Address |
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East West Health - Abq Llc
1500 Lomas Blvd Nw Ste B,
Albuquerque, NM 87104-1200
Ph: (505) 503-6490 | East West Health - Abq Llc
1500 Lomas Blvd Nw Ste B,
Albuquerque, NM 87104-1200
Ph: (505) 503-6490 |
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