Dr Scott W Mcmahon, MD | |
109 W Bland St, Roswell, NM 88203-5708 | |
(575) 622-7337 | |
(575) 623-3498 |
Full Name | Dr Scott W Mcmahon |
---|---|
Gender | Male |
Speciality | Pediatrics |
Location | 109 W Bland St, 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 |
---|---|---|---|
1528078938 | NPI | - | NPPES |
NM009Y96 | Other | NM | BLUE CROSS BLUE SHIELD ID |
17600065 | Medicaid | NM |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 92-302 (New Mexico) | Primary |
208D00000X | General Practice | 92-302 (New Mexico) | Secondary |
Entity Name | Roswell Clinic Corp |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649267618 PECOS PAC ID: 9436062759 Enrollment ID: O20031111000799 |
Entity Name | Pecos Valley Of New Mexico Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1972569820 PECOS PAC ID: 2466359781 Enrollment ID: O20031216000086 |
Entity Name | Deming Hospital Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134526221 PECOS PAC ID: 4981599206 Enrollment ID: O20040217000196 |
Entity Name | Fhlp Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1124446372 PECOS PAC ID: 5890919534 Enrollment ID: O20140619000085 |
Mailing Address | Practice Location Address |
---|---|
Dr Scott W Mcmahon, MD Po Box 145, Roswell, NM 88202-0145 Ph: (575) 622-7337 | Dr Scott W Mcmahon, MD 109 W Bland St, Roswell, NM 88203-5708 Ph: (575) 622-7337 |
Dr. Abelardo Garcia, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 813 N Washington Ave, Roswell, NM 88201 Phone: 575-622-2606 Fax: 575-622-6645 | |
Cynthia Amaya, CPNP-PC Pediatrics Medicare: Medicare Enrolled Practice Location: 813 N Washington Ave, Roswell, NM 88201 Phone: 575-622-2606 | |
Dr. Michael Paul Marquardt, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 813 N Washington Ave, Roswell, NM 88201 Phone: 575-622-2606 | |
Dr. William George Liakos Jr., M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 813 N Washington Ave, Roswell, NM 88201 Phone: 575-622-2606 Fax: 575-622-6645 | |
Mrs. Leishatt Torreblanca Villena, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 313 W Country Club Rd, Suite 13, Roswell, NM 88201 Phone: 575-625-1371 | |
Dr. Rachel M. Whitlock, DO Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 813 N Washington, Roswell, NM 88201 Phone: 575-622-2606 Fax: 575-622-6645 | |
Dr. Karen Lynne Carson, M.D. Pediatrics Medicare: May Accept Medicare Assignments Practice Location: 813 N Washington Ave, Roswell, NM 88201 Phone: 575-622-2606 Fax: 575-622-6645 |