Mohan Kumar Bangalore Puttaiah, MD | |
1600 N Main Ave, Lovington, NM 88260-2830 | |
(575) 396-6611 | |
Not Available |
Full Name | Mohan Kumar Bangalore Puttaiah |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 31 Years |
Location | 1600 N Main Ave, Lovington, 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 |
---|---|---|---|
1619007697 | NPI | - | NPPES |
284867 | Other | ID | ALTIUS HEALTH PLAN BILL # |
0007241559 | Other | ID | AETNA ID # |
M-8828 | Other | ID | IDAHO MEDICAL LICENSE # |
000010145537 | Other | ID | BLUESHIELD OF IDAHO GV # |
000010145534 | Other | ID | BLUESHIELD OF IDAHO MH # |
CS10257 | Other | ID | IDAHO CONTROLLED SUBST. # |
0-569-979-8 | Other | ID | ECFMG CERTIFICATION # |
58826 | Other | ID | BLUE CROSS OF IDAHO |
P00161243 | Other | ID | RAILROAD MEDICARE BILL # |
806780500 | Medicaid | ID | |
00010145533 | Other | ID | BLUESHIELD OF IDAHO GF # |
539004052 08 | Other | ID | I-94 # CLASS H1B1 |
Facility Name | Location | Facility Type |
---|---|---|
Dr Dan C Trigg Memorial Hospital | Tucumcari, NM | Hospital |
Plains Regional Medical Center | Clovis, NM | Hospital |
Gerald Champion Regional Medical Center | Alamogordo, NM | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Curry Emergency Group Llc | 1759687064 | 21 |
Four Corners Emergency Physicians Pllc | 5092053769 | 23 |
Entity Name | Curry Emergency Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508223082 PECOS PAC ID: 1759687064 Enrollment ID: O20160314000822 |
Entity Name | Four Corners Emergency Physicians Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1144793464 PECOS PAC ID: 5092053769 Enrollment ID: O20220829003007 |
Mailing Address | Practice Location Address |
---|---|
Mohan Kumar Bangalore Puttaiah, MD 1600 N Main Ave, Lovington, NM 88260-2830 Ph: (575) 396-6611 | Mohan Kumar Bangalore Puttaiah, MD 1600 N Main Ave, Lovington, NM 88260-2830 Ph: (575) 396-6611 |
Patrick J Homer, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1600 North Main, Lovington, NM 88260 Phone: 575-396-6611 Fax: 575-396-1454 | |
Cyril M Simon, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1600 N Main Ave, Lovington, NM 88260 Phone: 575-396-6611 Fax: 575-396-1454 | |
Neil M Berry, D.O. Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 1600 North Main, Lovington, NM 88260 Phone: 575-396-6611 Fax: 575-396-1454 | |
Ariel Joy Scott, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1600 N Main Ave, Lovington, NM 88260 Phone: 575-396-6611 Fax: 575-396-1454 | |
Marco Maldonado, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1600 N Main Ave, Lovington, NM 88260 Phone: 575-396-6611 | |
Nageena Potluri, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1600 N Main Ave, Lovington, NM 88260 Phone: 575-396-6611 | |
Dr. Michael R Springer, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1600 North Main, Lovington, NM 88260 Phone: 575-396-6611 Fax: 575-396-1454 |