Camille Pellegrino, | |
1600 Thorpe Rd, Las Cruces, NM 88012-9776 | |
(575) 526-6200 | |
(575) 526-2266 |
Full Name | Camille Pellegrino |
---|---|
Gender | Female |
Speciality | Dentist |
Location | 1600 Thorpe Rd, Las Cruces, New Mexico |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1700262318 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | DD4378 (New Mexico) | Primary |
Entity Name | Swope Health Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1689760076 PECOS PAC ID: 5294644530 Enrollment ID: O20040416000940 |
Mailing Address | Practice Location Address |
---|---|
Camille Pellegrino, Po Box 370, Hatch, NM 87937-0370 Ph: (575) 267-3280 | Camille Pellegrino, 1600 Thorpe Rd, Las Cruces, NM 88012-9776 Ph: (575) 526-6200 |
Dr. Bryce Heiner, D.M.D., M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 2103 Telshor Ct, Las Cruces, NM 88011 Phone: 985-788-5782 | |
Dr. Martin H Poel, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1600 Thorpe Rd, Las Cruces, NM 88012 Phone: 505-382-9292 | |
Renee Trujillo, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 3849 Foothills Rd, Suite A, Las Cruces, NM 88011 Phone: 575-526-0888 Fax: 575-526-9775 | |
Dr. Rafael Gonzalez Rascon, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 575 S Alameda Blvd, Las Cruces, NM 88005 Phone: 575-528-6470 Fax: 575-556-2930 | |
Howard M Achen, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 225 E Idaho, Suite 14, Las Cruces, NM 88005 Phone: 505-523-8663 Fax: 505-526-4593 | |
Bharat Ram Chowdry Guttikonda, DDS Dentist Medicare: Medicare Enrolled Practice Location: 1998 N Motel Blvd, Las Cruces, NM 88007 Phone: 575-541-5941 Fax: 575-541-5048 | |
Ashley K Johnson, DMD Dentist Medicare: Medicare Enrolled Practice Location: 1600 Thorpe Rd, Las Cruces, NM 88012 Phone: 505-382-9292 Fax: 505-382-2061 |