Marci C Gambarota, MD | |
516 E. Nizhoni Blvd., Gallup, NM 87301-1337 | |
(505) 722-1000 | |
(505) 722-1310 |
Full Name | Marci C Gambarota |
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Gender | Female |
Speciality | Emergency Medicine |
Location | 516 E. Nizhoni Blvd., Gallup, 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 |
---|---|---|---|
1689610248 | NPI | - | NPPES |
961567 | Medicaid | AZ | |
76226239 | Medicaid | NM |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | MD424787 (Pennsylvania) | Secondary |
207P00000X | Emergency Medicine | MD2006-0438 (New Mexico) | Primary |
Entity Name | Dhhs,phs,naihs, Gallup Indian Medical Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1225002322 PECOS PAC ID: 3173436409 Enrollment ID: O20031111000840 |
Mailing Address | Practice Location Address |
---|---|
Marci C Gambarota, MD Po Box 26666, Phs Provider Enrollment, Albuquerque, NM 87125-6666 Ph: (505) 923-6770 | Marci C Gambarota, MD 516 E. Nizhoni Blvd., Gallup, NM 87301-1337 Ph: (505) 722-1000 |
Mehdi Sattari, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: Rehoboth Mckinley Christian Health Care Services, 1901 Red Rock Drive, Gallup, NM 87301 Phone: 505-863-7000 | |
Alan Craig Beamsley, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1010 Milda Ave, Gallup, NM 87301 Phone: 505-870-1256 | |
Faye Maryann Lee, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: Gimc Department Of Emergency Medicine, 516 Nizhoni Blvd, Gallup, NM 87301 Phone: 714-785-5263 | |
Alexander Miles Jenson, Emergency Medicine Medicare: Medicare Enrolled Practice Location: 516 E Nizhoni Blvd, Gallup, NM 87301 Phone: 781-301-1077 | |
Mac Henry, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 516 E Nizhoni Blvd, Gallup, NM 87301 Phone: 505-722-1000 | |
Clayton M Dalton, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 516 E Nizhoni Blvd, Gallup, NM 87301 Phone: 505-722-1000 | |
Darryl Macias, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: Rehoboth Mckinley Christian Health Care Services, 1901 Red Rock Drive, Gallup, NM 87301 Phone: 505-863-7000 |