John Andazola, MD | |
2450 S Telshor Blvd, Las Cruces, NM 88011-5069 | |
(575) 521-5370 | |
(575) 521-5376 |
Full Name | John Andazola |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 27 Years |
Location | 2450 S Telshor Blvd, Las Cruces, 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 |
---|---|---|---|
1760438196 | NPI | - | NPPES |
P00699013 | Other | NM | RR MEDICARE |
15463357 | Medicaid | NM |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 99-154 (New Mexico) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Memorial Medical Center | Las cruces, NM | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Phc-las Cruces Inc | 4486635802 | 20 |
Entity Name | Phc-las Cruces Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1164445136 PECOS PAC ID: 4486635802 Enrollment ID: O20040624000297 |
Mailing Address | Practice Location Address |
---|---|
John Andazola, MD Po Box 6159, Las Cruces, NM 88006-6159 Ph: (575) 521-5370 | John Andazola, MD 2450 S Telshor Blvd, Las Cruces, NM 88011-5069 Ph: (575) 521-5370 |
Dr. Tiffany Kayla Autry, DNP FNP Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1005 S Telshor Blvd Ste A, Las Cruces, NM 88011 Phone: 575-262-7546 Fax: 575-888-2273 | |
Christopher James Magulick, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 2450 S Telshor Blvd, Las Cruces, NM 88011 Phone: 575-521-5385 Fax: 575-521-5568 | |
Dr. Susan Diane Thomas, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2450 S Telshor Blvd, Las Cruces, NM 88011 Phone: 505-521-5381 Fax: 505-521-5376 | |
Alaa Masjune, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2450 S Telshor Blvd, Las Cruces, NM 88011 Phone: 575-521-5385 | |
Dr. Denise A. Leonardi, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1135 S Main St, Suite B, Las Cruces, NM 88005 Phone: 505-525-4000 Fax: 505-525-4050 | |
Baldomero P Garcia, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3003 Hillrise Dr, Suite A, Las Cruces, NM 88011 Phone: 575-521-7550 Fax: 575-521-7617 | |
Dr. Roset Samuel, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4371 E Lohman Ave, Las Cruces, NM 88011 Phone: 575-532-8900 Fax: 575-532-8974 |