Dr Thomas John Herr, MD | |
1901 Red Rock Dr, Gallup, NM 87301-5683 | |
(505) 863-7000 | |
Not Available |
Full Name | Dr Thomas John Herr |
---|---|
Gender | Male |
Speciality | Pediatrics |
Location | 1901 Red Rock Dr, Gallup, 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 |
---|---|---|---|
1477623213 | NPI | - | NPPES |
000 G2604 | Medicaid | NM | |
593865 | Medicaid | AZ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 29497 (Arizona) | Primary |
Entity Name | Rosebud Indian Health Service |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1194757369 PECOS PAC ID: 6901704055 Enrollment ID: O20031226000337 |
Mailing Address | Practice Location Address |
---|---|
Dr Thomas John Herr, MD 910 E Green Ave, Gallup, NM 87301-5515 Ph: (505) 879-6169 | Dr Thomas John Herr, MD 1901 Red Rock Dr, Gallup, NM 87301-5683 Ph: (505) 863-7000 |
Dr. Carlos Manuel De Sanctis, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 516 E. Nizhoni Blvd., Gallup, NM 87301 Phone: 505-722-1000 Fax: 505-722-1268 | |
Ramona V. Anderson, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 516 East Nizhoni Blvd., Gallup, NM 87301 Phone: 505-722-1000 Fax: 505-722-1268 | |
Dr. John Edward Ratmeyer, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 516 Nizhoni Blvd, Gallup, NM 87301 Phone: 505-722-1000 Fax: 505-722-1268 | |
Michelle Stam-maclaren, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2111 College Drive, Rehoboth Mckinley Christian Health Care Services, Gallup, NM 87301 Phone: 505-863-1820 | |
Janet M Li-tempest, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 516 Nizhoni Blvd, Gallup, NM 87301 Phone: 505-722-1000 Fax: 505-722-1268 | |
Gary A Escudero, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 516 E. Nizhoni Blvd, Box 1337, Gallup, NM 87301 Phone: 505-722-1000 Fax: 505-722-1397 | |
Dr. Gayle Ann Harrison, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2111 College Dr, Gallup, NM 87301 Phone: 505-863-1820 Fax: 505-863-1898 |