Mohammad R Hassan, MD | |
2000 W 21st St, W7, Clovis, NM 88101-4087 | |
(575) 763-3666 | |
(575) 762-3520 |
Full Name | Mohammad R Hassan |
---|---|
Gender | Male |
Speciality | Cardiovascular Disease (cardiology) |
Experience | 41 Years |
Location | 2000 W 21st St, Clovis, New Mexico |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1427012681 | NPI | - | NPPES |
153906603 | Medicaid | TX | |
23371340 | Medicaid | NM | |
348431307 | Other | NM | MEDICARE |
TXB123657 | Other | TX | MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RC0000X | Internal Medicine - Cardiovascular Disease | L3891 (Texas) | Secondary |
207RC0000X | Internal Medicine - Cardiovascular Disease | 20030757 (New Mexico) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Roosevelt General Hospital | Portales, NM | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Roosevelt County Special Hospital District | 4082526660 | 24 |
Covenant Medical Group | 6901889393 | 216 |
Covenant Medical Group | 6901889393 | 216 |
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 |
Entity Name | Roosevelt County Special Hospital District |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073517058 PECOS PAC ID: 4082526660 Enrollment ID: O20040708000841 |
Entity Name | Covenant Medical Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1376598904 PECOS PAC ID: 6901889393 Enrollment ID: O20041110000465 |
Mailing Address | Practice Location Address |
---|---|
Mohammad R Hassan, MD Po Box 26666, Provider Enrollment, Albuquerque, NM 87125-6666 Ph: (505) 923-6770 | Mohammad R Hassan, MD 2000 W 21st St, W7, Clovis, NM 88101-4087 Ph: (575) 763-3666 |
Arnel Anthony S Bobadilla, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 2200 W 21st St, Plains Regional Medical Group, Clovis, NM 88101 Phone: 505-769-7577 Fax: 505-769-7595 | |
Donna M Thibodeau, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 2100 N Dr Martin Luther King Jr Blvd, Clovis Plains Reg Med Ctr, Clovis, NM 88101 Phone: 505-769-2141 Fax: 505-769-7337 | |
Obadias Ferrari, MD Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: 2100 N Dr Martin Luther King Jr Blvd, Clovis Plains Regional Medical Center (prmc), Clovis, NM 88101 Phone: 505-769-2141 Fax: 505-769-7337 | |
Ayyappa Mysore Rangaraju, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 2421 W 21st St Ste B, Clovis, NM 88101 Phone: 575-769-7577 Fax: 575-742-7856 | |
Donald L Heine, MD Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 1600 W 21st St, Suite A, Clovis, NM 88101 Phone: 575-762-2121 Fax: 575-935-2121 | |
Brian E Willmon, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 2000 W 21st St, Ste W-8, Clovis, NM 88101 Phone: 505-763-4479 Fax: 505-763-6007 |