Amy Davis, CNP | |
Pmg Pediatric Surgical Group, 201 Cedar Se Suite 503, Albuquerque, NM 87106 | |
(505) 224-7478 | |
(505) 224-7479 |
Full Name | Amy Davis |
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Gender | Female |
Speciality | Surgery |
Location | Pmg Pediatric Surgical Group, Albuquerque, 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 |
---|---|---|---|
1841384237 | NPI | - | NPPES |
7036205 | Medicaid | NM |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | R19892 (New Mexico) | Primary |
Entity Name | Unm Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1831218627 PECOS PAC ID: 4981795267 Enrollment ID: O20070801000589 |
Mailing Address | Practice Location Address |
---|---|
Amy Davis, CNP Po Box 26666, Phs Provider Enrollment, Albuquerque, NM 87125-6666 Ph: (505) 923-5356 | Amy Davis, CNP Pmg Pediatric Surgical Group, 201 Cedar Se Suite 503, Albuquerque, NM 87106 Ph: (505) 224-7478 |
Dr. Ryan P. Tyner, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 10511 Golf Course Rd Nw, Albuquerque, NM 87114 Phone: 505-262-7281 | |
Krista L Turner, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 2211 Lomas Blvd Ne, Albuquerque, NM 87106 Phone: 505-272-6441 | |
Dr. Sylvia Marina Ramos, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 1010 Las Lomas Rd Ne, Suite #1, Albuquerque, NM 87102 Phone: 505-248-1518 Fax: 505-248-1610 | |
Laura Medina, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 4700 Jefferson St Ne, Albuquerque, NM 87109 Phone: 505-925-7464 | |
Dr. Brian Lee Holt, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 715 Martin Luther King Ave Ne, Suite 301, Albuquerque, NM 87102 Phone: 505-262-7281 Fax: 505-262-7622 | |
Deanna Gonzalez, Surgery Medicare: Not Enrolled in Medicare Practice Location: Msc10 5610 1 University Of New Mexico, Albuquerque, NM 87131 Phone: 505-272-4161 Fax: 505-272-2776 | |
Melvin D Brown, PA-C Surgery Medicare: Accepting Medicare Assignments Practice Location: 1648 Alameda Blvd Nw, Albuquerque, NM 87114 Phone: 505-944-7508 Fax: 505-998-6927 |