Mr Connor Nicholas Osterberg, PA-C is a medicare enrolled "Physician Assistant" physician in Albuquerque, New Mexico. His current practice location is
2211 Lomas Blvd Ne, Albuquerque, New Mexico. You can reach out to his office (for appointments etc.) via phone at
(505) 272-2111.
Mr Connor Nicholas Osterberg is licensed to practice in New Mexico (license number PA2022-0074) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1902492093.
Physician's Profile
Full Name | Mr Connor Nicholas Osterberg |
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Gender | Male |
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Speciality | Physician Assistant |
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Location | 2211 Lomas Blvd Ne, Albuquerque, New Mexico |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1902492093
- Provider Enumeration Date: 12/14/2020
- Last Update Date: 10/05/2024
Medicare PECOS Information:
- PECOS PAC ID: 1951777838
- Enrollment ID: I20221018001009
Medical Identifiers
Medical identifiers for Mr Connor Nicholas Osterberg such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1902492093 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207R00000X | Internal Medicine | PA2022-0074 (New Mexico) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
363A00000X | Physician Assistant | PA2022-0074 (New Mexico) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Connor Nicholas Osterberg is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mr Connor Nicholas Osterberg, PA-C 800 Bradbury Dr Se Ste 116, Albuquerque, NM 87106-4310 Ph: (505) 272-1476 | Mr Connor Nicholas Osterberg, PA-C 2211 Lomas Blvd Ne, Albuquerque, NM 87106-2719 Ph: (505) 272-2111 |
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