Dr Alicia Michele Burbano, | |
3900 Juan Tabo Blvd Ne, Suite 4, Albuquerque, NM 87111-3984 | |
(505) 298-1010 | |
(505) 298-3939 |
Full Name | Dr Alicia Michele Burbano |
---|---|
Gender | Female |
Speciality | Psychiatry & Neurology - Psychiatry |
Location | 3900 Juan Tabo Blvd Ne, 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 |
---|---|---|---|
1083857247 | NPI | - | NPPES |
61625728 | Medicaid | NM |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | MD2013-0964 (New Mexico) | Primary |
Entity Name | Elemental Health And Wellness Center Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1891125183 PECOS PAC ID: 0446481881 Enrollment ID: O20140327000787 |
Mailing Address | Practice Location Address |
---|---|
Dr Alicia Michele Burbano, 3900 Juan Tabo Blvd Ne, Suite 4, Albuquerque, NM 87111-3984 Ph: (505) 298-1010 | Dr Alicia Michele Burbano, 3900 Juan Tabo Blvd Ne, Suite 4, Albuquerque, NM 87111-3984 Ph: (505) 298-1010 |
Melissa A Merhege, Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 500 Walter St Ne Ste 213, Albuquerque, NM 87102 Phone: 505-727-7177 Fax: 505-727-3778 | |
Dr. Anju C Jaiswal, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: Children Psychiatric Hospital, 1001 Yale Blvd., Albuquerque, NM 87131 Phone: 505-272-2890 | |
George Edwin Davis, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 1002 Idlewilde Ln Se, Albuquerque, NM 87108 Phone: 505-270-7479 | |
Shannon Stromberg, Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: Unm Psychiatric Ctr, 2600 Marble Ne, Albuquerque, NM 87131 Phone: 505-272-2800 Fax: 505-272-8692 | |
Liz-beth Porter, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: Unm Hospital Psychiatry, 2211 Lomas Blvd Ne, Albuquerque, NM 87131 Phone: 505-272-6225 | |
Mr. Ronald Lee Romanik, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 7520 Montgomery Blvd Ne, Suite D12, Albuquerque, NM 87109 Phone: 505-323-6969 Fax: 505-323-9696 | |
Dr. Justin F Beatty, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 2616 Mesilla St Ne Ste 3, Albuquerque, NM 87110 Phone: 505-503-6300 |