Edgar C Boedeker, MD | |
1001 Dr Martin Luther King Jr Ave Ne, Albuquerque, NM 87106-4713 | |
(505) 925-6000 | |
(505) 272-8018 |
Full Name | Edgar C Boedeker |
---|---|
Gender | Male |
Speciality | Internal Medicine - Gastroenterology |
Location | 1001 Dr Martin Luther King Jr Ave Ne, Albuquerque, 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 |
---|---|---|---|
1861586935 | NPI | - | NPPES |
43351841 | Medicaid | CO | |
989444 | Medicaid | AZ | |
46554548 | Medicaid | NM |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RG0100X | Internal Medicine - Gastroenterology | MD2005-0398 (New Mexico) | Primary |
Entity Name | Presbyterian Healthcare Services |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1104802354 PECOS PAC ID: 9234041708 Enrollment ID: O20031103000603 |
Entity Name | Unm Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1831218627 PECOS PAC ID: 4981795267 Enrollment ID: O20070801000589 |
Mailing Address | Practice Location Address |
---|---|
Edgar C Boedeker, MD 1001 Dr Martin Luther King Jr Ave Ne, Albuquerque, NM 87106-4713 Ph: (505) 925-6000 | Edgar C Boedeker, MD 1001 Dr Martin Luther King Jr Ave Ne, Albuquerque, NM 87106-4713 Ph: (505) 925-6000 |
Dr. Alberto Aguayo Rico, M.D, Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 401 San Mateo Blvd Se, Albuquerque, NM 87108 Phone: 505-462-7333 Fax: 505-462-7440 | |
Peter Guido, MD Gastroenterology Medicare: Not Enrolled in Medicare Practice Location: 4700 Jefferson St Ne, Ste 800, Albuquerque, NM 87109 Phone: 505-872-6000 Fax: 505-872-6003 | |
Kenneth A Bell, DO Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 2901 Transport St Se, Albuquerque, NM 87106 Phone: 505-262-7110 Fax: 505-262-7308 | |
Joseph F. Oser, M.D. Gastroenterology Medicare: Not Enrolled in Medicare Practice Location: 1501 San Pedro Dr Se, Albuquerque, NM 87108 Phone: 505-265-1711 | |
Dr. Stanley Zissman Berman, M.D. Gastroenterology Medicare: Not Enrolled in Medicare Practice Location: 7416 Vista Del Arroyo Ave Ne, Albuquerque, NM 87109 Phone: 505-884-7270 | |
Huyentrang Vu, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: Unm Hospital Internal Medicine, 2211 Lomas Blvd Ne, Albuquerque, NM 87131 Phone: 505-272-6225 | |
Tamara Goodman, MD Gastroenterology Medicare: Medicare Enrolled Practice Location: 4901 Lang Ave Ne, Albuquerque, NM 87109 Phone: 505-842-8171 |