Kimberly Ann Moseley, MD | |
455 Saint Michaels Dr, Santa Fe, NM 87505-7601 | |
(505) 913-3975 | |
Not Available |
Full Name | Kimberly Ann Moseley |
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Gender | Female |
Speciality | Surgery |
Location | 455 Saint Michaels Dr, Santa Fe, 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 |
---|---|---|---|
1396832416 | NPI | - | NPPES |
165024001 | Medicaid | AR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | MD38996 (Tennessee) | Secondary |
208600000X | Surgery | E-5272 (Arkansas) | Secondary |
208600000X | Surgery | MD2011-0065 (New Mexico) | Primary |
Entity Name | Rural Surgical Associates Of Las Vegas Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801309018 PECOS PAC ID: 1456611151 Enrollment ID: O20180126001596 |
Mailing Address | Practice Location Address |
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Kimberly Ann Moseley, MD 455 Saint Michaels Dr, Santa Fe, NM 87505-7601 Ph: (505) 913-3975 | Kimberly Ann Moseley, MD 455 Saint Michaels Dr, Santa Fe, NM 87505-7601 Ph: (505) 913-3975 |
Poseidon Spyros Varvitsiotis, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1631 Hospital Dr, Santa Fe, NM 87505 Phone: 505-988-3975 Fax: 505-986-8001 | |
William Edgefield Mitchell Jr., MD Surgery Medicare: Medicare Enrolled Practice Location: 9a Rocky Slope Dr, Santa Fe, NM 87508 Phone: 505-473-3648 | |
Anna M Voltura, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 435 Saint Michaels Dr Ste 104, Santa Fe, NM 87505 Phone: 505-372-1052 Fax: 505-820-3172 | |
John Dirk Wassner, MD Surgery Medicare: Medicare Enrolled Practice Location: 465 Saint Michaels Dr, Suite 110, Santa Fe, NM 87505 Phone: 505-954-8720 | |
Joseph M. Smith Iii, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 490b W Zia Rd, Suite A, Santa Fe, NM 87505 Phone: 505-995-8346 Fax: 505-995-8345 | |
Michael Scott Woods, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 465 Saint Michaels Dr, Suite 110, Santa Fe, NM 87505 Phone: 505-954-8720 |