Allan Tilden Herman, MD | |
104 Legion Dr, Las Vegas, NM 87701-4804 | |
(505) 426-3504 | |
Not Available |
Full Name | Allan Tilden Herman |
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Gender | Male |
Speciality | Emergency Medicine |
Location | 104 Legion Dr, Las Vegas, 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 |
---|---|---|---|
1326604851 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | MD2022-0905 (New Mexico) | Primary |
Entity Name | Presbyterian Healthcare Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1104802354 PECOS PAC ID: 9234041708 Enrollment ID: O20031103000603 |
Entity Name | San Miguel Clinic Corp |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1114920717 PECOS PAC ID: 1254226079 Enrollment ID: O20040219000384 |
Entity Name | Summit Emergency Medicine Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1679112130 PECOS PAC ID: 9032546783 Enrollment ID: O20200219001436 |
Entity Name | San Miguel Hospital Corporation |
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Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1114639234 PECOS PAC ID: 8921097502 Enrollment ID: O20230206001980 |
Mailing Address | Practice Location Address |
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Allan Tilden Herman, MD 133 Benmore Dr Ste 200, Winter Park, FL 32792-4111 Ph: (407) 646-7070 | Allan Tilden Herman, MD 104 Legion Dr, Las Vegas, NM 87701-4804 Ph: (505) 426-3504 |
Arnold R. Atkins, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 104 Legion Drive, Las Vegas, NM 87701 Phone: 505-466-4375 |