Dr Richard J Sidd, MD | |
207 N Union Ave Ste C, Roswell, NM 88201-3068 | |
(575) 622-7295 | |
(575) 622-7295 |
Full Name | Dr Richard J Sidd |
---|---|
Gender | Male |
Speciality | Ophthalmology |
Location | 207 N Union Ave Ste C, Roswell, 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 |
---|---|---|---|
1205998788 | NPI | - | NPPES |
00032805 | Medicaid | NM | |
NM84260 | Other | NM LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207W00000X | Ophthalmology | 84260 (New Mexico) | Primary |
Entity Name | Eye Associates Of New Mexico Ltd |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1104868520 PECOS PAC ID: 4486643616 Enrollment ID: O20040511001422 |
Mailing Address | Practice Location Address |
---|---|
Dr Richard J Sidd, MD 207 N Union, Suite C, Roswell, NM 88201-3068 Ph: (505) 622-7295 | Dr Richard J Sidd, MD 207 N Union Ave Ste C, Roswell, NM 88201-3068 Ph: (575) 622-7295 |
Dr. Paul F Engstrom, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 342 Sherrill Ln, Roswell, NM 88201 Phone: 575-625-0123 Fax: 575-625-0131 | |
Dr. Grace M Sally Mellgren, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 342 Sherrill Ln, Roswell, NM 88201 Phone: 575-625-0123 Fax: 575-625-0131 | |
Stephen W Montgomery, MD Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 101 N Missouri Avenue, Roswell, NM 88203 Phone: 505-623-8420 |