Ethan C Levin, MD | |
5600 Eubank Blvd Ne Ste 110, Albuquerque, NM 87111-1519 | |
(314) 996-8810 | |
Not Available |
Full Name | Ethan C Levin |
---|---|
Gender | Male |
Speciality | Dermatology |
Experience | 13 Years |
Location | 5600 Eubank Blvd Ne Ste 110, 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 |
---|---|---|---|
1326332123 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207ND0101X | Dermatology - Mohs-micrographic Surgery | A122015 (California) | Secondary |
207N00000X | Dermatology | MD2019-0595 (New Mexico) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Epiphany Dermatology Of New Mexico, Llc | 4082919691 | 25 |
Entity Name | Epiphany Dermatology Of New Mexico, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1447615760 PECOS PAC ID: 4082919691 Enrollment ID: O20160219000201 |
Mailing Address | Practice Location Address |
---|---|
Ethan C Levin, MD 7300 Ranch Road 2222, Bldg 1, Ste 200, Austin, TX 78730-3255 Ph: (512) 759-8932 | Ethan C Levin, MD 5600 Eubank Blvd Ne Ste 110, Albuquerque, NM 87111-1519 Ph: (314) 996-8810 |
Dr. Willliam F Willis, M.D. Dermatology Medicare: Not Enrolled in Medicare Practice Location: 7520 Montgomery Blvd Ne, Albuquerque, NM 87109 Phone: 505-884-7070 Fax: 505-884-6018 | |
R. Steven Padilla, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 1021 Medical Arts Ave Ne, Albuquerque, NM 87102 Phone: 505-272-4947 | |
Phillip Strange, MD Dermatology Medicare: Medicare Enrolled Practice Location: 1021 Medical Arts Ave Ne, Msc09 4240, Albuquerque, NM 87102 Phone: 505-272-6222 | |
Carol Purcell, PA-C Dermatology Medicare: Accepting Medicare Assignments Practice Location: 10151 Montgomery Blvd Ne Bldg 1, Suite A, Albuquerque, NM 87111 Phone: 505-855-5503 Fax: 505-855-5533 | |
Dr. Heidi Elizabeth Fleischmann, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 7520 Montgomery Blvd Ne, Bldg D4, Albuquerque, NM 87109 Phone: 505-884-7070 Fax: 505-884-6018 | |
Shelly Ann Stepenaskie, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1001 Woodward Pl Ne, Albuquerque, NM 87102 Phone: 505-938-8296 Fax: 505-938-8688 | |
Dr. C.g. Elliott Foucar, M.D. Dermatology Medicare: Not Enrolled in Medicare Practice Location: 14029 Wind Mountain Rd Ne, Albuquerque, NM 87112 Phone: 505-275-1395 Fax: 595-275-1395 |