Raymond Anthony Shelko, DDS | |
1090 Goat Springs Road, Taos, NM 87571-1946 | |
(575) 758-4224 | |
(575) 751-5210 |
Full Name | Raymond Anthony Shelko |
---|---|
Gender | Male |
Speciality | Dentist - General Practice |
Location | 1090 Goat Springs Road, Taos, 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 |
---|---|---|---|
1053442483 | NPI | - | NPPES |
K3543 | Medicaid | NM | |
49382861 | Medicaid | NM |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 8722 (Georgia) | Primary |
Entity Name | Taos Picuris Health Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1548372071 PECOS PAC ID: 5193638245 Enrollment ID: O20031106000188 |
Mailing Address | Practice Location Address |
---|---|
Raymond Anthony Shelko, DDS 1090 Goat Springs Road, Taos, NM 87571-1946 Ph: (575) 758-4224 | Raymond Anthony Shelko, DDS 1090 Goat Springs Road, Taos, NM 87571-1946 Ph: (575) 758-4224 |
Dr. Willard Jeffrey Hammerman, DDS, MAGD Dentist Medicare: Not Enrolled in Medicare Practice Location: 1027 Salazar Rd Ste 1, Taos, NM 87571 Phone: 575-758-1100 Fax: 575-758-0705 | |
Dr. Charles Thomas Simms Ii, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 1392 Weimer Rd, Suite B, Taos, NM 87571 Phone: 505-758-8303 Fax: 505-737-5737 | |
Dr. Eric Frederick Bauman, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 1090 Goat Springs Road, Taos, NM 87571 Phone: 575-758-6955 | |
Dr. Robert Mills Elliott, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1090 Goat Springs Road, Taos, NM 87571 Phone: 505-758-4224 | |
Mr. Michael H Rivera, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 107 Plaza Garcia, Taos, NM 87571 Phone: 505-758-0531 | |
Dr. Kellie Ann Harris, D.D.S, F.A.G.D Dentist Medicare: Not Enrolled in Medicare Practice Location: 1337 Gusdorf Rd, Suite A, Taos, NM 87571 Phone: 505-751-9661 Fax: 505-751-9689 |