Dr Douglas A Puryear, MD | |
4 Camino De Vecinos, Santa Fe, NM 87507-7901 | |
(505) 982-9337 | |
Not Available |
Full Name | Dr Douglas A Puryear |
---|---|
Gender | Male |
Speciality | Psychiatry & Neurology - Psychiatry |
Location | 4 Camino De Vecinos, Santa Fe, 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 |
---|---|---|---|
1053399204 | NPI | - | NPPES |
30816 | Medicaid | NM | |
100647 | Other | NM | VALUE OPTIONS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | 90-96 (New Mexico) | Primary |
Entity Name | State Of New Mexico |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1992867998 PECOS PAC ID: 2062412869 Enrollment ID: O20091021000191 |
Mailing Address | Practice Location Address |
---|---|
Dr Douglas A Puryear, MD 250 E Alameda St, Apt 507, Santa Fe, NM 87501-2186 Ph: (505) 982-9337 | Dr Douglas A Puryear, MD 4 Camino De Vecinos, Santa Fe, NM 87507-7901 Ph: (505) 982-9337 |
Larry Dwight Holden, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 3 E Golden Eagle Rd, Santa Fe, NM 87506 Phone: 505-988-7476 Fax: 505-986-6453 | |
Mr. Lawrence W. Lazarus, M.D. Psychiatry & Neurology Medicare: May Accept Medicare Assignments Practice Location: 2826 Plaza Verde, Santa Fe, NM 87507 Phone: 505-820-2302 Fax: 505-982-4777 | |
Julia Anne Weinstein, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 150 Washington Ave Ste 201, Santa Fe, NM 87501 Phone: 971-241-8963 Fax: 505-395-4501 | |
Edward Joseph Neidhardt, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 103 S Saint Francis Dr, Suite C, Santa Fe, NM 87501 Phone: 505-988-5667 Fax: 505-820-1632 | |
Ron Tintner, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 61 Thundercloud Rd, Santa Fe, NM 87506 Phone: 615-345-5400 Fax: 888-468-6603 | |
Dr. Karl Arthur Ray, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 455 Saint Michaels Dr, St. Vincent Regional Medical Center, Santa Fe, NM 87505 Phone: 505-820-5985 Fax: 505-989-6489 |