Dr Fernando J Indacochea, MD | |
4401 E. Lohman Ave., Suite A, Las Cruces, NM 88011 | |
(575) 532-9077 | |
(575) 532-9221 |
Full Name | Dr Fernando J Indacochea |
---|---|
Gender | Male |
Speciality | Pediatrics |
Location | 4401 E. Lohman Ave., Las Cruces, 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 |
---|---|---|---|
1720089519 | NPI | - | NPPES |
0107734000 | Medicaid | WV |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | MD2012-0871 (New Mexico) | Primary |
Entity Name | Las Cruces Physician Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1215079678 PECOS PAC ID: 8224122759 Enrollment ID: O20070914000414 |
Mailing Address | Practice Location Address |
---|---|
Dr Fernando J Indacochea, MD 4395 Isleta Ct, Las Cruces, NM 88011-4297 Ph: (304) 902-0443 | Dr Fernando J Indacochea, MD 4401 E. Lohman Ave., Suite A, Las Cruces, NM 88011 Ph: (575) 532-9077 |
Gretchen Struemph, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 4401 E Lohman Ave, Las Cruces, NM 88011 Phone: 575-532-9077 Fax: 575-532-9221 | |
Dr. Hasan Adnan, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 4401 E Lohman Ave, Las Cruces, NM 88011 Phone: 575-532-9077 | |
Dr. Jose Manuel Galvez, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 385 Calle De Alegra Ste B, Las Cruces, NM 88005 Phone: 575-674-2880 Fax: 575-674-2881 | |
Dr. Jana Williams, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4181 Camino Coyote, Las Cruces, NM 88011 Phone: 575-532-6006 Fax: 575-532-9049 | |
Dr. Michael B. Savitt, MICHAEL SAVITT, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 575 S Alameda Blvd, Las Cruces, NM 88005 Phone: 575-528-6400 Fax: 575-521-7199 | |
Dr. Timothy E Herndon, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 4351 E Lohman Ave, Suite 100, Las Cruces, NM 88011 Phone: 575-532-9077 Fax: 575-532-9221 | |
Chennelle Thomas, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 4401 E Lohman Ave, Las Cruces, NM 88011 Phone: 575-532-9077 Fax: 575-532-9221 |