Basil A Anaele, MD | |
1521 W 13th St, Clovis, NM 88101-5568 | |
(575) 769-0888 | |
(575) 763-9154 |
Full Name | Basil A Anaele |
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Gender | Male |
Speciality | Pediatrics |
Location | 1521 W 13th St, Clovis, 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 |
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1437403813 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | MD2012-0726 (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 | Roosevelt County Special Hospital District |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073517058 PECOS PAC ID: 4082526660 Enrollment ID: O20040708000841 |
Mailing Address | Practice Location Address |
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Basil A Anaele, MD 1515 W Fir St, Portales, NM 88130-5703 Ph: (575) 356-6695 | Basil A Anaele, MD 1521 W 13th St, Clovis, NM 88101-5568 Ph: (575) 769-0888 |
Dr. Salvatore La Fata, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2020 Sheffield Dr, Clovis, NM 88101 Phone: 505-762-4507 Fax: 505-762-7220 | |
Adora Anudu, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2200 W 21st St, Clovis, NM 88101 Phone: 575-769-7577 Fax: 575-769-6329 | |
David B Vickers, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1521 W 13th St, Clovis, NM 88101 Phone: 575-769-0888 | |
Chioma Muoghalu, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2200 W 21st St, Clovis, NM 88101 Phone: 575-769-7577 | |
Dr. Thien Tien Luu, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2000 W 21st St, #e-2, Clovis, NM 88101 Phone: 575-762-3726 Fax: 575-762-3727 | |
Kathryn E Winters, MD Pediatrics Medicare: Medicare Enrolled Practice Location: Plains Regional Medical Group, 2200 W 21st St, Clovis, NM 88101 Phone: 575-769-7577 Fax: 575-769-7595 |