Wallace Gladden, | |
Unm Department Of Orthopaedics And, 1 University Of New Mexico, Albuquerque, NM 87131-0001 | |
(505) 272-6444 | |
(505) 272-8099 |
Full Name | Wallace Gladden |
---|---|
Gender | Male |
Speciality | General Practice |
Experience | 15 Years |
Location | Unm Department Of Orthopaedics And, Albuquerque, 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 |
---|---|---|---|
1689803827 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208100000X | Physical Medicine & Rehabilitation | P27997 (Maryland) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Manzano Medical Group, P.c. | 9830093707 | 3 |
Entity Name | Manzano Medical Group, P.c. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1881704096 PECOS PAC ID: 9830093707 Enrollment ID: O20031121000649 |
Mailing Address | Practice Location Address |
---|---|
Wallace Gladden, 933 Bradbury Dr Se, Suite 2222, Albuquerque, NM 87106-4374 Ph: (505) 272-3120 | Wallace Gladden, Unm Department Of Orthopaedics And, 1 University Of New Mexico, Albuquerque, NM 87131-0001 Ph: (505) 272-6444 |
Mark A Gould, PA Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 1524 Eubank Blvd Ne Ste 6, Albuquerque, NM 87112 Phone: 505-503-8806 Fax: 888-503-8511 | |
Dr. Julie A Muche, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 2211 Lomas Blvd Ne, Albuquerque, NM 87106 Phone: 541-342-2134 Fax: 541-242-4227 | |
Clifford R Stoller, M.D. Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 6100 Seagull St Ne, Suite 106, Albuquerque, NM 87109 Phone: 505-883-4395 Fax: 505-883-4397 | |
Joy Iris Schoenherr, P.T., D.P.T. Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 818 Menaul Blvd Nw, Albuquerque, NM 87107 Phone: 505-242-4079 Fax: 505-242-2094 | |
Ms. Debra Green, MSN, C-FNP Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 1524 Eubank Blvd Ne Ste 6, Albuquerque, NM 87112 Phone: 505-503-8600 Fax: 888-503-8511 | |
Pranamya Suri, MD Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 2100 Louisiana Blvd Ne Ste 410, Albuquerque, NM 87110 Phone: 505-724-4300 Fax: 505-724-4384 | |
Dr. Joshu Alan Raiten, M.D. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 500 Walter St Ne, Albuquerque, NM 87102 Phone: 505-727-7177 Fax: 505-727-3778 |