Michael Diantonio, MD | |
80 B Veterans Blvd, Acoma, NM 87034 | |
(505) 552-5300 | |
(505) 552-5490 |
Full Name | Michael Diantonio |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 80 B Veterans Blvd, Acoma, 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 |
---|---|---|---|
1528118163 | NPI | - | NPPES |
01395500 | Medicaid | NY | |
H3451 | Medicaid | NM |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | ME105541 (Florida) | Secondary |
207P00000X | Emergency Medicine | 169638 (New York) | Primary |
Entity Name | Mvhs Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770690737 PECOS PAC ID: 2769380252 Enrollment ID: O20031222000433 |
Entity Name | Emergency Physician Services Of New York, P.c. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093759847 PECOS PAC ID: 8325939804 Enrollment ID: O20041001000684 |
Entity Name | Sullivan Emergency Services Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1528338480 PECOS PAC ID: 7719146927 Enrollment ID: O20120307000760 |
Mailing Address | Practice Location Address |
---|---|
Michael Diantonio, MD Po Box 130, San Fidel, NM 87049-0130 Ph: (505) 552-5300 | Michael Diantonio, MD 80 B Veterans Blvd, Acoma, NM 87034 Ph: (505) 552-5300 |
Dr. Richard M Kaut, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 80 B Veterans Blvd, Acoma, NM 87034 Phone: 505-552-5300 Fax: 505-552-5490 | |
Steadman A Mason, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 80 B Veterans Blvd, Acoma, NM 87034 Phone: 505-552-5300 Fax: 505-552-5490 | |
Dr. I-wen Tseng, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 80 B Veterans Blvd, Acoma, NM 87034 Phone: 505-552-5300 Fax: 505-552-5490 | |
Dr. Michael E. Rowe, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 80 B Veterans Blvd, Acoma, NM 87034 Phone: 505-552-5300 Fax: 505-552-5490 | |
Dr. Janet I Mcmahon, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 80 B Veterans Blvd, Acoma, NM 87034 Phone: 505-552-5300 Fax: 505-552-5490 | |
Folake O Oluokun, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 80 B Veterans Blvd, Acoma, NM 87034 Phone: 505-552-5300 Fax: 505-552-5490 |