Dr Mustapha Kamel Abouda, MD | |
1302 E Calle De Merced, Espanola, NM 87532 | |
(505) 753-9292 | |
(505) 753-1866 |
Full Name | Dr Mustapha Kamel Abouda |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 35 Years |
Location | 1302 E Calle De Merced, Espanola, New Mexico |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1477654697 | NPI | - | NPPES |
202005111 | Other | NM | PRESBYTERIAN |
98800825 | Medicaid | NM | |
SX159 | Other | NM | LOVELACE SALUD |
90382 | Other | NM | LOVELACE COMMERCIAL |
NM009X52 | Other | NM | BCBS |
QMYPR0070730 | Other | NM | MOLINA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | M020550567 (New Mexico) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Los Alamos Medical Center | Los alamos, NM | Hospital |
Presbyterian Espanola Hospital | Espanola, NM | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Espanola Sports Medicine Pa | 2163691411 | 52 |
Los Alamos Physician Practices Llc | 4587661541 | 14 |
Entity Name | Los Alamos Physician Practices Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1750330510 PECOS PAC ID: 4587661541 Enrollment ID: O20061104000041 |
Mailing Address | Practice Location Address |
---|---|
Dr Mustapha Kamel Abouda, MD Po Box 2219, Espanola, NM 87532-2219 Ph: (505) 753-9292 | Dr Mustapha Kamel Abouda, MD 1302 E Calle De Merced, Espanola, NM 87532 Ph: (505) 753-9292 |
Amy Longfellow, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2010 Industrial Park Rd, Espanola, NM 87532 Phone: 505-753-7395 Fax: 505-426-3492 | |
Michael D Wagner, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1010 Spruce St 3rd Fl Area 5, Espanola, NM 87532 Phone: 505-367-0340 Fax: 505-747-2025 | |
Dechen Wangmo Tsewang, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: Rr5 Box 446, Santa Clara Health Center, Espanola, NM 87532 Phone: 505-753-9421 Fax: 505-753-5039 | |
Vidya Subramanian, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1010 Spruce St, Espanola Multi-specialty Clinic, Espanola, NM 87532 Phone: 505-367-0340 Fax: 505-367-0346 | |
Larry L Cohen, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1010 Spruce St, Espanola Hospital, Espanola, NM 87532 Phone: 505-753-7111 Fax: 505-753-4438 | |
Tanya P. Reyes, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: El Centro Family Health, 2010 Industrial Park Rd., Espanola, NM 87532 Phone: 505-753-7218 | |
Enid D Lewis, RD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1010 Spruce St, Espanola Hospital, Espanola, NM 87532 Phone: 505-753-7111 Fax: 505-753-4438 |