Dr Heather Ellen Marancenbaum, MD | |
211 Sudderth Dr, Ruidoso, NM 88345-6002 | |
(575) 257-8200 | |
Not Available |
Full Name | Dr Heather Ellen Marancenbaum |
---|---|
Gender | Female |
Speciality | Family Practice |
Experience | 23 Years |
Location | 211 Sudderth Dr, Ruidoso, 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 |
---|---|---|---|
1528073384 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 24957 (Oklahoma) | Secondary |
207P00000X | Emergency Medicine | MD2015-0170 (New Mexico) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Memorial Medical Center | Las cruces, NM | Hospital |
Lincoln County Medical Center | Ruidoso, NM | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Southwest Emergency Medical Associates Of Nm Pc | 8426324294 | 26 |
Presbyterian Healthcare Services | 9234041708 | 1119 |
Entity Name | Presbyterian Healthcare Services |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1104802354 PECOS PAC ID: 9234041708 Enrollment ID: O20031103000603 |
Entity Name | Southwest Emergency Medical Associates Of Nm Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1720505571 PECOS PAC ID: 8426324294 Enrollment ID: O20171023001270 |
Mailing Address | Practice Location Address |
---|---|
Dr Heather Ellen Marancenbaum, MD Po Box 26666, Provider Enrollment, Albuquerque, NM 87125-6666 Ph: (505) 923-6770 | Dr Heather Ellen Marancenbaum, MD 211 Sudderth Dr, Ruidoso, NM 88345-6002 Ph: (575) 257-8200 |
Patrick J Connor, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 211 Sudderth, Lincoln County Medical Center, Ruidoso, NM 88345 Phone: 505-257-8200 Fax: 505-630-4233 | |
Bradford Lee Cambron, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 211 Sudderth Dr, Ruidoso, NM 88345 Phone: 575-257-8200 | |
Mark E King, PA Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1401 Sudderth Dr, Ruidoso, NM 88345 Phone: 575-257-7712 Fax: 575-257-4513 |