Donald L Heine, MD | |
1600 W 21st St, Suite A, Clovis, NM 88101-4084 | |
(575) 762-2121 | |
(575) 935-2121 |
Full Name | Donald L Heine |
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Gender | Male |
Speciality | Internal Medicine - Cardiovascular Disease |
Location | 1600 W 21st 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 |
---|---|---|---|
1285682542 | NPI | - | NPPES |
145439901 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RC0000X | Internal Medicine - Cardiovascular Disease | J5347 (Texas) | Secondary |
207RC0000X | Internal Medicine - Cardiovascular Disease | MD2006-0020 (New Mexico) | Primary |
Entity Name | Phs Indian Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508809765 PECOS PAC ID: 4789598731 Enrollment ID: O20031114000287 |
Entity Name | Dhhs Ihs Phoenix Area |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396022026 PECOS PAC ID: 0244405629 Enrollment ID: O20120105000013 |
Mailing Address | Practice Location Address |
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Donald L Heine, MD Po Box 5205, Clovis, NM 88102-5205 Ph: (575) 762-2121 | Donald L Heine, MD 1600 W 21st St, Suite A, Clovis, NM 88101-4084 Ph: (575) 762-2121 |
Arnel Anthony S Bobadilla, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 2200 W 21st St, Plains Regional Medical Group, Clovis, NM 88101 Phone: 505-769-7577 Fax: 505-769-7595 | |
Donna M Thibodeau, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 2100 N Dr Martin Luther King Jr Blvd, Clovis Plains Reg Med Ctr, Clovis, NM 88101 Phone: 505-769-2141 Fax: 505-769-7337 | |
Obadias Ferrari, MD Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: 2100 N Dr Martin Luther King Jr Blvd, Clovis Plains Regional Medical Center (prmc), Clovis, NM 88101 Phone: 505-769-2141 Fax: 505-769-7337 | |
Ayyappa Mysore Rangaraju, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 2421 W 21st St Ste B, Clovis, NM 88101 Phone: 575-769-7577 Fax: 575-742-7856 | |
Brian E Willmon, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 2000 W 21st St, Ste W-8, Clovis, NM 88101 Phone: 505-763-4479 Fax: 505-763-6007 | |
Mohammad R Hassan, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 2000 W 21st St, W7, Clovis, NM 88101 Phone: 575-763-3666 Fax: 575-762-3520 |