Luis Antonio Sardina Pena, MD | |
University Of New Mexico, Albuquerque, NM 87131-5364 | |
(216) 444-2200 | |
(216) 445-9535 |
Full Name | Luis Antonio Sardina Pena |
---|---|
Gender | Male |
Speciality | Dermatology |
Location | University Of New Mexico, 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 |
---|---|---|---|
1811379274 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | MD2024-0810 (New Mexico) | Secondary |
207N00000X | Dermatology | MD2024-0810 (New Mexico) | Primary |
Entity Name | Skin Pathology Associates, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1376970236 PECOS PAC ID: 9537395652 Enrollment ID: O20140110000745 |
Mailing Address | Practice Location Address |
---|---|
Luis Antonio Sardina Pena, MD University Of New Mexico, Albuquerque, NM 87131-4306 Ph: (332) 250-5223 | Luis Antonio Sardina Pena, MD University Of New Mexico, Albuquerque, NM 87131-5364 Ph: (216) 444-2200 |
Dr. Willliam F Willis, M.D. Dermatology Medicare: Not Enrolled in Medicare Practice Location: 7520 Montgomery Blvd Ne, Albuquerque, NM 87109 Phone: 505-884-7070 Fax: 505-884-6018 | |
R. Steven Padilla, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 1021 Medical Arts Ave Ne, Albuquerque, NM 87102 Phone: 505-272-4947 | |
Phillip Strange, MD Dermatology Medicare: Medicare Enrolled Practice Location: 1021 Medical Arts Ave Ne, Msc09 4240, Albuquerque, NM 87102 Phone: 505-272-6222 | |
Carol Purcell, PA-C Dermatology Medicare: Accepting Medicare Assignments Practice Location: 10151 Montgomery Blvd Ne Bldg 1, Suite A, Albuquerque, NM 87111 Phone: 505-855-5503 Fax: 505-855-5533 | |
Dr. Heidi Elizabeth Fleischmann, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 7520 Montgomery Blvd Ne, Bldg D4, Albuquerque, NM 87109 Phone: 505-884-7070 Fax: 505-884-6018 | |
Shelly Ann Stepenaskie, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1001 Woodward Pl Ne, Albuquerque, NM 87102 Phone: 505-938-8296 Fax: 505-938-8688 | |
Dr. C.g. Elliott Foucar, M.D. Dermatology Medicare: Not Enrolled in Medicare Practice Location: 14029 Wind Mountain Rd Ne, Albuquerque, NM 87112 Phone: 505-275-1395 Fax: 595-275-1395 |