Kathryn E Winters, MD | |
Plains Regional Medical Group, 2200 W 21st St, Clovis, NM 88101 | |
(575) 769-7577 | |
(575) 769-7595 |
Full Name | Kathryn E Winters |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | Plains Regional Medical Group, Clovis, 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 |
---|---|---|---|
1952495343 | NPI | - | NPPES |
E4865 | Medicaid | NM | |
1072589-04 | Medicaid | NM |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 92-378 (New Mexico) | Primary |
Entity Name | Presbyterian Healthcare Services |
---|---|
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 |
---|---|
Kathryn E Winters, MD Po Box 26666, Phs Provider Enrollment, Albuquerque, NM 87125-6666 Ph: (505) 923-5356 | Kathryn E Winters, MD Plains Regional Medical Group, 2200 W 21st St, Clovis, NM 88101 Ph: (575) 769-7577 |
Dr. Salvatore La Fata, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2020 Sheffield Dr, Clovis, NM 88101 Phone: 505-762-4507 Fax: 505-762-7220 | |
Basil A Anaele, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1521 W 13th St, Clovis, NM 88101 Phone: 575-769-0888 Fax: 575-763-9154 | |
Adora Anudu, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2200 W 21st St, Clovis, NM 88101 Phone: 575-769-7577 Fax: 575-769-6329 | |
David B Vickers, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1521 W 13th St, Clovis, NM 88101 Phone: 575-769-0888 | |
Chioma Muoghalu, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2200 W 21st St, Clovis, NM 88101 Phone: 575-769-7577 | |
Dr. Thien Tien Luu, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2000 W 21st St, #e-2, Clovis, NM 88101 Phone: 575-762-3726 Fax: 575-762-3727 |