Shantell Moyers, LMSW | |
546 N 10th Street, Fort Sumner, NM 88119-0349 | |
(575) 355-2444 | |
(575) 355-2444 |
Full Name | Shantell Moyers |
---|---|
Gender | Female |
Speciality | Clinical Social Worker |
Experience | 12 Years |
Location | 546 N 10th Street, Fort Sumner, New Mexico |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1598270399 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | M-09849 (New Mexico) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
De Baca Family Practice Clinic | 6406758358 | 4 |
Entity Name | De Baca Family Practice Clinic |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003855032 PECOS PAC ID: 6406758358 Enrollment ID: O20040122000409 |
Mailing Address | Practice Location Address |
---|---|
Shantell Moyers, LMSW 546 N 10th Street, Po Box 349, Fort Sumner, NM 88119 Ph: (575) 355-2444 | Shantell Moyers, LMSW 546 N 10th Street, Fort Sumner, NM 88119-0349 Ph: (575) 355-2444 |
Dorene Jaramillo, BMS Counselor Medicare: Not Enrolled in Medicare Practice Location: 678 Avenue C, Fort Sumner, NM 88119 Phone: 575-355-8326 | |
Patricia A. Sena, TREATMENT COORD Counselor Medicare: Not Enrolled in Medicare Practice Location: 678 Avenue C, Fort Sumner, NM 88119 Phone: 575-355-8326 | |
Tina Teal, Counselor Medicare: Not Enrolled in Medicare Practice Location: 678 Avenue C, Fort Sumner, NM 88119 Phone: 575-355-8326 | |
Josephine Dolores Cones, CSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 255 Ave C, Fort Sumner, NM 88119 Phone: 575-355-5384 | |
Jesica C. Talley, BMS Counselor Medicare: Not Enrolled in Medicare Practice Location: 678 Avenue C, Fort Sumner, NM 88119 Phone: 575-355-8326 | |
Ms. Rhonda Rochelle Shields, LPCC Counselor Medicare: Medicare Enrolled Practice Location: 176 Peach Ln, Fort Sumner, NM 88119 Phone: 505-269-4155 |