Onyinyechukwu Igbokwe, MD | |
1010 Spruce St 2nd Fl Area 2, Espanola, NM 87532-2724 | |
(505) 367-0340 | |
(845) 647-7632 |
Full Name | Onyinyechukwu Igbokwe |
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Gender | Female |
Speciality | Family Medicine |
Location | 1010 Spruce St 2nd Fl Area 2, Espanola, 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 |
---|---|---|---|
1811550585 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | MD2022-0429 (New Mexico) | Primary |
Entity Name | Presbyterian Healthcare Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1104802354 PECOS PAC ID: 9234041708 Enrollment ID: O20031103000603 |
Mailing Address | Practice Location Address |
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Onyinyechukwu Igbokwe, MD Po Box 26666, Provider Enrollment, Albuquerque, NM 87125-6666 Ph: (505) 923-6770 | Onyinyechukwu Igbokwe, MD 1010 Spruce St 2nd Fl Area 2, Espanola, NM 87532-2724 Ph: (505) 367-0340 |
Amy Longfellow, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2010 Industrial Park Rd, Espanola, NM 87532 Phone: 505-753-7395 Fax: 505-426-3492 | |
Michael D Wagner, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1010 Spruce St 3rd Fl Area 5, Espanola, NM 87532 Phone: 505-367-0340 Fax: 505-747-2025 | |
Dechen Wangmo Tsewang, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: Rr5 Box 446, Santa Clara Health Center, Espanola, NM 87532 Phone: 505-753-9421 Fax: 505-753-5039 | |
Vidya Subramanian, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1010 Spruce St, Espanola Multi-specialty Clinic, Espanola, NM 87532 Phone: 505-367-0340 Fax: 505-367-0346 | |
Larry L Cohen, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1010 Spruce St, Espanola Hospital, Espanola, NM 87532 Phone: 505-753-7111 Fax: 505-753-4438 | |
Tanya P. Reyes, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: El Centro Family Health, 2010 Industrial Park Rd., Espanola, NM 87532 Phone: 505-753-7218 | |
Enid D Lewis, RD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1010 Spruce St, Espanola Hospital, Espanola, NM 87532 Phone: 505-753-7111 Fax: 505-753-4438 |