Emilio T Rivera, MD | |
5290 Mcnutt Rd, Ste 109, Santa Teresa, NM 88008 | |
(575) 589-1144 | |
(575) 589-2008 |
Full Name | Emilio T Rivera |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 37 Years |
Location | 5290 Mcnutt Rd, Santa Teresa, 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 |
---|---|---|---|
1366410276 | NPI | - | NPPES |
050051043 | Other | RR MEDICARE | |
NM009D02 | Other | NM | BCBS OF NM |
NM011595 | Other | NM | BCBS NM |
30858 | Medicaid | NM |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | 89-285 (New Mexico) | Secondary |
207Q00000X | Family Medicine | 89-285 (New Mexico) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Mountain View Regional Medical Center | Las cruces, NM | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Doctors Of Santa Teresa Pc | 6305740002 | 2 |
Main Street Anesthesia Of New Mexico, Llc | 3476807538 | 149 |
Entity Name | Doctors Of Santa Teresa Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1639121692 PECOS PAC ID: 6305740002 Enrollment ID: O20031124000676 |
Mailing Address | Practice Location Address |
---|---|
Emilio T Rivera, MD Po Box 1590, Santa Teresa, NM 88008-1590 Ph: (575) 589-1144 | Emilio T Rivera, MD 5290 Mcnutt Rd, Ste 109, Santa Teresa, NM 88008 Ph: (575) 589-1144 |
Dr. Douglas Zischkau, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 5055 Mcnutt Rd, Santa Teresa, NM 88008 Phone: 575-589-5005 Fax: 575-589-1333 | |
Dr. Robert L Nichols, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1300 Country Club Road, Santa Teresa, NM 88008 Phone: 505-589-4000 Fax: 505-589-7225 | |
Lucia Marquez-valdepena, NP Family Medicine Medicare: Medicare Enrolled Practice Location: 5300 Mcnutt Rd Ste 8, Santa Teresa, NM 88008 Phone: 915-921-0004 | |
Dr. Henry Calderoni, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 5055 Mcnutt Rd, Santa Teresa, NM 88008 Phone: 575-589-5005 Fax: 575-589-1333 | |
Dorothy F Gault-mcnemee, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 5290 Mcnutt Road, Santa Teresa, NM 88008 Phone: 505-589-1144 Fax: 505-589-2008 |