Amanda Violet Grippen Goddard, DO | |
7001 Signal Ave Ne, Albuquerque, NM 87113-2453 | |
(505) 826-2735 | |
(505) 856-2749 |
Full Name | Amanda Violet Grippen Goddard |
---|---|
Gender | Female |
Speciality | Allergy/immunology |
Experience | 10 Years |
Location | 7001 Signal Ave Ne, Albuquerque, 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 |
---|---|---|---|
1710399654 | NPI | - | NPPES |
1D3719 | Other | NM | MEDICARE PTAN |
38337207 | Medicaid | NM | |
1D3721 | Other | NM | MEDICARE PTAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207K00000X | Allergy & Immunology | A233920 (New Mexico) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Allergy Partners Pllc | 7113822420 | 152 |
Entity Name | Allergy Partners Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1225028541 PECOS PAC ID: 7113822420 Enrollment ID: O20050411000027 |
Entity Name | Allergy Partners Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1982816591 PECOS PAC ID: 7113822420 Enrollment ID: O20071109000114 |
Mailing Address | Practice Location Address |
---|---|
Amanda Violet Grippen Goddard, DO Po Box 603725, Charlotte, NC 28260-3725 Ph: (828) 575-2625 | Amanda Violet Grippen Goddard, DO 7001 Signal Ave Ne, Albuquerque, NM 87113-2453 Ph: (505) 826-2735 |
Elizabeth Haynes, CNP Allergy & Immunology Medicare: Accepting Medicare Assignments Practice Location: 1201 Camino De Salud Ne, Albuquerque, NM 87131 Phone: 505-272-4946 Fax: 505-925-0100 | |
Valerie S Tausch, MD Allergy & Immunology Medicare: Medicare Enrolled Practice Location: 1224 Pennsylvania St Ne, B, Albuquerque, NM 87110 Phone: 505-255-1512 Fax: 505-255-1513 | |
Dr. Jack George Ghably, M.D. Allergy & Immunology Medicare: Accepting Medicare Assignments Practice Location: 7001 Signal Ave Ne, Albuquerque, NM 87113 Phone: 505-856-2735 Fax: 505-856-2749 | |
Dr. Katherine Jean Abernathy-carver, M.D. Allergy & Immunology Medicare: May Accept Medicare Assignments Practice Location: 2509 Virginia St Ne, Ste B, Albuquerque, NM 87110 Phone: 505-294-1471 Fax: 505-293-7148 | |
Michael H Keslin, M.D. Allergy & Immunology Medicare: Not Enrolled in Medicare Practice Location: 6100 Pan American East Fwy Ne, Suite 330, Albuquerque, NM 87109 Phone: 505-856-2735 Fax: 505-856-2749 | |
Mrs. Teresa L Jenkins-mccord, C.A.N.P. Allergy & Immunology Medicare: Accepting Medicare Assignments Practice Location: 2509 Virginia St Ne, Ste A, Albuquerque, NM 87110 Phone: 505-237-2574 Fax: 505-237-3632 | |
Dr. Richard A. Wachs, M.D. Allergy & Immunology Medicare: Accepting Medicare Assignments Practice Location: 4901 Lang Ave Ne, Ste 100, Albuquerque, NM 87109 Phone: 505-883-2574 Fax: 505-265-4033 |