Gwendolyn G Reyna, MD | |
801 Encino Pl Ne, Suite E-12, Albuquerque, NM 87102-2612 | |
(505) 842-5151 | |
Not Available |
Full Name | Gwendolyn G Reyna |
---|---|
Gender | Female |
Speciality | Preventive Medicine - Occupational Medicine |
Location | 801 Encino Pl 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 |
---|---|---|---|
1619157385 | NPI | - | NPPES |
10231773 | Medicaid | NM | |
53938577 | Medicaid | NM | |
46650024 | Medicaid | NM | |
28777841 | Medicaid | NM | |
51305879 | Medicaid | NM | |
01786342 | Medicaid | NM |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2083X0100X | Preventive Medicine - Occupational Medicine | MD2007-0053 (New Mexico) | Primary |
Entity Name | Knd Development 59 Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1215266754 PECOS PAC ID: 3678602802 Enrollment ID: O20101202000819 |
Mailing Address | Practice Location Address |
---|---|
Gwendolyn G Reyna, MD 5080 Spectrum Dr, Suite 1200 West, Addison, TX 75001-4648 Ph: (800) 232-3550 | Gwendolyn G Reyna, MD 801 Encino Pl Ne, Suite E-12, Albuquerque, NM 87102-2612 Ph: (505) 842-5151 |
David Lyman, M.D. Preventive Medicine Medicare: Not Enrolled in Medicare Practice Location: 5700 Harper Dr Ne, Albuquerque, NM 87109 Phone: 505-823-9166 Fax: 505-858-0030 | |
Mr. Kellen J Pino, MS, LAT, ATC, CES Preventive Medicine Medicare: Not Enrolled in Medicare Practice Location: 12200 Lomas Blvd Ne, Albuquerque, NM 87112 Phone: 505-559-2200 | |
Juliana Garcia, M.D. Preventive Medicine Medicare: Not Enrolled in Medicare Practice Location: 3811 Commons Ave Ne, Albuquerque, NM 87109 Phone: 615-778-4066 | |
Dr. Geoffrey Leo Ewing, D.O. Preventive Medicine Medicare: Medicare Enrolled Practice Location: 1501 San Pedro Dr Se, Albuquerque, NM 87108 Phone: 801-528-8505 | |
Joey Burl Boyce, Preventive Medicine Medicare: Not Enrolled in Medicare Practice Location: 1417 San Rafael Ave Ne, Albuquerque, NM 87122 Phone: 816-261-6304 | |
Dr. Leslie Olivia Hopkins, M.D. Preventive Medicine Medicare: Medicare Enrolled Practice Location: Msc10 5550, 1 University Of New Mexico, Albuquerque, NM 87131 Phone: 505-272-5880 Fax: 505-262-5958 | |
Dr. Kendall Bryce Green, M.D. Preventive Medicine Medicare: Not Enrolled in Medicare Practice Location: 2400 Tucker, Family Practice Center Rm 232, Albuquerque, NM 87131 Phone: 505-272-8043 Fax: 505-272-8044 |