Dr Stephen K Williams, MD | |
80 B Veterans Blvd, Acoma, NM 87034 | |
(505) 552-5300 | |
(505) 552-5828 |
Full Name | Dr Stephen K Williams |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 80 B Veterans Blvd, Acoma, 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 |
---|---|---|---|
1821077298 | NPI | - | NPPES |
H3451 | Medicaid | NM |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 19262 (Arizona) | Primary |
Entity Name | Tucson Physician Group Holdings Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356726939 PECOS PAC ID: 0547560070 Enrollment ID: O20151204001261 |
Mailing Address | Practice Location Address |
---|---|
Dr Stephen K Williams, MD P.o. Box 130, San Fidel, NM 87049-0130 Ph: (505) 552-5300 | Dr Stephen K Williams, MD 80 B Veterans Blvd, Acoma, NM 87034 Ph: (505) 552-5300 |
Dr. George R Kiracofe, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 80 B Veterans Blvd, I-40, Exit 102, Acoma, NM 87034 Phone: 505-552-5300 Fax: 505-552-5828 | |
Dr. Halea Kala Meese, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 80 B Veterans, Acoma, NM 87034 Phone: 505-552-5300 Fax: 505-552-5490 | |
Dr. David Nguyen, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 80 B Veterans Blvd, Acoma, NM 87034 Phone: 505-552-5385 Fax: 505-552-5828 | |
Annika Bannon, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 80 B Veterans Blvd, Acoma, NM 87034 Phone: 505-552-5300 Fax: 505-552-5490 | |
Dr. Nabil M Habib, M.D Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 80 B Veterans Blvd, I-40, Exit 102, Acoma, NM 87034 Phone: 505-552-5300 Fax: 505-552-5828 |