Peter L Driscoll, MD | |
121 El Paso Rd, Lincoln County Medical Complex, Ruidoso, NM 88345-6033 | |
(575) 630-8350 | |
(575) 630-5232 |
Full Name | Peter L Driscoll |
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Gender | Male |
Speciality | Surgery |
Location | 121 El Paso Rd, Ruidoso, 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 |
---|---|---|---|
1518052794 | NPI | - | NPPES |
37044 | Medicaid | NM |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 86034 (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 |
---|---|
Peter L Driscoll, MD Po Box 26666, Phs Provider Enrollment, Albuquerque, NM 87125-6666 Ph: (505) 923-6770 | Peter L Driscoll, MD 121 El Paso Rd, Lincoln County Medical Complex, Ruidoso, NM 88345-6033 Ph: (575) 630-8350 |
Ilhan Yildiz, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 121 El Paso Rd, Ruidoso, NM 88345 Phone: 575-630-8350 | |
Nicole Rigsby, PA-C Surgery Medicare: Accepting Medicare Assignments Practice Location: 211 Sudderth Dr, Ruidoso, NM 88345 Phone: 575-257-8200 | |
Alexandra Michaela Drymon, D.O. Surgery Medicare: Medicare Enrolled Practice Location: 121 El Paso Rd, General Surgery - Ruidoso, Ruidoso, NM 88345 Phone: 575-630-8350 Fax: 575-257-4055 |