Dr William Wallace Anderson, MD | |
1400 Barbara Loop Se Ste A, Rio Rancho, NM 87124-1088 | |
(505) 892-9711 | |
(505) 892-5206 |
Full Name | Dr William Wallace Anderson |
---|---|
Gender | Male |
Speciality | General Practice |
Experience | 49 Years |
Location | 1400 Barbara Loop Se Ste A, Rio Rancho, 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 |
---|---|---|---|
1194800334 | NPI | - | NPPES |
85-0455201 | Other | NM | FEDID |
850455201 | Other | NM | DEFAULT NUMBER |
17418 | Medicaid | NM |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 78-105 (New Mexico) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Omni Medical Group Llc | 6709049745 | 7 |
Entity Name | Omni Medical Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568768042 PECOS PAC ID: 6709049745 Enrollment ID: O20120531000416 |
Mailing Address | Practice Location Address |
---|---|
Dr William Wallace Anderson, MD 1400 Barbara Loop Se Ste A, Rio Rancho, NM 87124-1088 Ph: (505) 892-9711 | Dr William Wallace Anderson, MD 1400 Barbara Loop Se Ste A, Rio Rancho, NM 87124-1088 Ph: (505) 892-9711 |
Lana K Wagner, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4100 High Resort Blvd Se, Pmg Rio Rancho High Resort 4100, Rio Rancho, NM 87124 Phone: 505-462-8520 Fax: 505-462-8510 | |
Jasmine Valerie Gutierrez, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 4005 High Resort Blvd Se, Rio Rancho, NM 87124 Phone: 505-462-6000 | |
Dr. Santiago Marinez Ayala, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2300 Grande Blvd Se, Suite A, Rio Rancho, NM 87124 Phone: 505-896-7100 | |
Mrs. Christina Marie Hannah, PA Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 184 Unser Blvd Ne, Rio Rancho, NM 87124 Phone: 505-896-0928 | |
Paul Afek, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3001 Broadmoor Blvd Ne, Rio Rancho, NM 87144 Phone: 505-994-7397 | |
Ethan A Prairie, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 4005 High Resort Blvd Se, Rio Rancho, NM 87124 Phone: 505-462-6000 | |
J. Dayton Voorhees, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 4005 High Resort Blvd Se, Pmg High Resort 4005, Rio Rancho, NM 87124 Phone: 505-462-6000 Fax: 505-462-6006 |