Carletta Thompson, MD | |
407 S Schwartz Ave Ste 101, Farmington, NM 87401-5925 | |
(505) 609-6595 | |
(505) 599-4633 |
Full Name | Carletta Thompson |
---|---|
Gender | Female |
Speciality | Physical Medicine And Rehabilitation |
Experience | 31 Years |
Location | 407 S Schwartz Ave Ste 101, Farmington, 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 |
---|---|---|---|
1770509044 | NPI | - | NPPES |
10309713 | Medicaid | NM |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208100000X | Physical Medicine & Rehabilitation | 2003-0603 (New Mexico) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
San Juan Regional Medical Center | Farmington, NM | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
San Juan Regional Medical Center, Inc. | 4587559505 | 171 |
San Juan Regional Medical Center, Inc. | 4587559505 | 171 |
Entity Name | San Juan Regional Medical Center, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1639662901 PECOS PAC ID: 4587559505 Enrollment ID: O20040218000865 |
Mailing Address | Practice Location Address |
---|---|
Carletta Thompson, MD Po Box 844088, Dallas, TX 75284-4088 Ph: (505) 609-2258 | Carletta Thompson, MD 407 S Schwartz Ave Ste 101, Farmington, NM 87401-5925 Ph: (505) 609-6595 |
Raymund Lucero, PT Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 1101 W Murray Dr, Farmington, NM 87401 Phone: 505-326-1600 | |
Jeffrey S Grant, M.D. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 608 E Comanche St, Farmington, NM 87401 Phone: 505-325-0072 Fax: 505-327-1739 | |
Dr. Camille Rivera, M.D. Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 2500 Farmington Ave, Farmington, NM 87401 Phone: 505-326-7246 Fax: 505-592-0063 |