Amelia Brooks Kreienkamp, MD | |
1010 Spruce St, Espanola, NM 87532-2724 | |
(505) 753-7111 | |
Not Available |
Full Name | Amelia Brooks Kreienkamp |
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Gender | Female |
Speciality | Pediatrics |
Location | 1010 Spruce St, Espanola, 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 |
---|---|---|---|
1972023810 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | MD2020-0740 (New Mexico) | Primary |
208000000X | Pediatrics | 2017020363 (Missouri) | Secondary |
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 | St. Vincent Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1578587150 PECOS PAC ID: 6608775135 Enrollment ID: O20040105000372 |
Mailing Address | Practice Location Address |
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Amelia Brooks Kreienkamp, MD Po Box 26666, Provider Enrollment, Albuquerque, NM 87125-6666 Ph: (505) 923-6770 | Amelia Brooks Kreienkamp, MD 1010 Spruce St, Espanola, NM 87532-2724 Ph: (505) 753-7111 |
Dr. Margaret Fox, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1000 N Paseo De Onate, Espanola, NM 87532 Phone: 505-231-0652 | |
Rebecca Jane Wallig, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 1010 Spruce St, Espanola, NM 87532 Phone: 505-367-0340 | |
Chelsea D Kirby, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1010 Spruce St, Espanola Multispecialty Clinic, Espanola, NM 87532 Phone: 505-753-8031 Fax: 505-753-7433 | |
David Michael King, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 1010 Spruce St, Espanola, NM 87532 Phone: 505-367-0346 | |
Dr. Julian R. Benavidez, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1010 Spruce St, Espanola, NM 87532 Phone: 505-753-7111 | |
James Lewis Mcneil, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1010 Spruce St, Locum Tenens, Espanola, NM 87532 Phone: 505-367-0361 Fax: 505-367-0320 |