Alan Mannheimer, MD | |
407 S Schwartz Ave Ste 201, Farmington, NM 87401-5925 | |
(505) 609-6700 | |
(505) 609-2259 |
Full Name | Alan Mannheimer |
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Gender | Male |
Speciality | Pediatrics |
Location | 407 S Schwartz Ave Ste 201, Farmington, 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 |
---|---|---|---|
1679717789 | NPI | - | NPPES |
007868100 | Medicaid | FL | |
NC2050 | Medicaid | SC | |
1679717789 | Medicaid | NC |
Entity Name | Taos Health Systems Inc Holy Cross Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1194751958 PECOS PAC ID: 8224937412 Enrollment ID: O20040107000398 |
Entity Name | Taos Professional Services,llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1891070777 PECOS PAC ID: 6507019924 Enrollment ID: O20130116000178 |
Mailing Address | Practice Location Address |
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Alan Mannheimer, MD 104 Quail Trail, Unit B, Edgewood, NM 87015 Ph: (505) 208-0204 | Alan Mannheimer, MD 407 S Schwartz Ave Ste 201, Farmington, NM 87401-5925 Ph: (505) 609-6700 |
Richard Grenville Diedrich, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1001 D W. Broadway, Farmington, NM 87401 Phone: 505-327-4796 | |
R Stephen Rankin, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2300 E 30th St, Bldg C2, Farmington, NM 87401 Phone: 505-324-1000 Fax: 505-324-1199 | |
Preston Herrington Iii, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 407 S Schwartz Ave, Ste 102, Farmington, NM 87401 Phone: 505-609-6700 Fax: 505-609-6701 | |
.peggy R Tolliver, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 407 S Schwartz Ave, Suite 102, Farmington, NM 87401 Phone: 505-609-6700 Fax: 505-609-6701 | |
Dr. Bradley J. Scoggins, D.O. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 407 S Schwartz Ave Ste 102, Farmington, NM 87401 Phone: 505-609-9700 | |
Dr. Roberto Reble Bamba Jr., M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 407 S Schwartz Ave, Suite 102, Farmington, NM 87401 Phone: 505-609-6700 Fax: 505-609-6701 | |
Dr. Page Pomo, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1001 W Broadway Ste D, Farmington, NM 87401 Phone: 505-327-4796 |