Fernando Bayardo, MD | |
1010 Spruce St, Espanola Hospital, Espanola, NM 87532-2724 | |
(505) 367-0340 | |
(505) 367-0346 |
Full Name | Fernando Bayardo |
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Gender | Male |
Speciality | Emergency Medicine |
Location | 1010 Spruce St, Espanola, 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 |
---|---|---|---|
1174694616 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 9612 (New Mexico) | Primary |
Entity Name | Presbyterian Healthcare Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1104802354 PECOS PAC ID: 9234041708 Enrollment ID: O20031103000603 |
Mailing Address | Practice Location Address |
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Fernando Bayardo, MD Po Box 26666, Phs Provider Enrollment, Albuquerque, NM 87125-6666 Ph: (505) 923-6770 | Fernando Bayardo, MD 1010 Spruce St, Espanola Hospital, Espanola, NM 87532-2724 Ph: (505) 367-0340 |
Karen G Connaughton, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1010 Spruce St, Espanola Hospital, Espanola, NM 87532 Phone: 505-753-7111 Fax: 505-753-4438 | |
Patrick Montoya, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1010 Spruce St, Espanola Hospital, Espanola, NM 87532 Phone: 505-367-0340 Fax: 505-367-0346 | |
Lea Pazos Creekmur O'dell, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1010 Spruce St, Espanola, NM 87532 Phone: 505-753-7111 | |
Valerie Merl, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1010 Spruce St, Espanola Hospital, Espanola, NM 87532 Phone: 505-753-7111 Fax: 505-753-4438 | |
Dr. Gary Kanner, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1010 Spruce St, Espanola, NM 87532 Phone: 505-753-7111 | |
Dr. Brandon Allen Quinn, MD, MPH Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1010 Spruce St, Espanola, NM 87532 Phone: 505-753-1553 |