Mrs Kresta S Antillon, | |
145 Don Pasqual Rd Nw, Los Lunas, NM 87031-8841 | |
(505) 865-4618 | |
(505) 224-8727 |
Full Name | Mrs Kresta S Antillon |
---|---|
Gender | Female |
Speciality | Family Practice |
Experience | 9 Years |
Location | 145 Don Pasqual Rd Nw, Los Lunas, New Mexico |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1861887192 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | MD2018-0733 (New Mexico) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Legacy Healthcare Services Inc | 2163339722 | 3341 |
Entity Name | First Choice Community Healthcare, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1902993132 PECOS PAC ID: 7315854049 Enrollment ID: O20040121001003 |
Mailing Address | Practice Location Address |
---|---|
Mrs Kresta S Antillon, Msc 09 5040, 1 University Of New Mexico, Albuquerque, NM 87131-0001 Ph: (505) 994-5300 | Mrs Kresta S Antillon, 145 Don Pasqual Rd Nw, Los Lunas, NM 87031-8841 Ph: (505) 865-4618 |
Jordan Elizabeth Hoese, MD Family Medicine Medicare: Medicare Enrolled Practice Location: Los Lunas, 145 Don Pasqual Nw, Los Lunas, NM 87031 Phone: 505-873-7400 | |
Rodrigo Perez-resendiz, PA-C Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 145 Don Pasqual Rd Nw, Los Lunas, NM 87031 Phone: 505-865-4618 Fax: 505-224-8727 | |
Norah Elizabeth Walsh, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 111 Sandoval Rd Sw, Los Lunas, NM 87031 Phone: 505-565-4355 Fax: 505-565-4360 | |
Dr. William Leonard Mizell, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1525 Morris Rd Se, Los Lunas, NM 87031 Phone: 505-383-3543 | |
Sharon Marie Mullis, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 200 Emilio Lopez Rd Nw, Pmg Los Lunas, Los Lunas, NM 87031 Phone: 505-866-2700 Fax: 505-866-2701 | |
Dr. Laura C Ulibarri, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 127 Sandoval Rd Sw, Los Lunas, NM 87031 Phone: 505-865-3373 | |
Dr. Mark Roque Sanchez, M.D., Family Medicine Medicare: Medicare Enrolled Practice Location: 200 Emilio Lopez Rd Nw, Los Lunas, NM 87031 Phone: 505-866-2700 Fax: 505-866-2701 |