Richard M Feddersen, MD | |
1100 Central Ave Se, Pathology Associates, Albuquerque, NM 87106-4930 | |
(505) 841-1259 | |
(505) 841-1373 |
Full Name | Richard M Feddersen |
---|---|
Gender | Male |
Speciality | Pathology |
Experience | 45 Years |
Location | 1100 Central Ave Se, Albuquerque, 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 |
---|---|---|---|
1730170754 | NPI | - | NPPES |
9597 | Medicaid | NM |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 87229 (New Mexico) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Presbyterian Hospital | Albuquerque, NM | Hospital |
Presbyterian Santa Fe Medical Center | Santa fe, NM | Hospital |
Presbyterian Espanola Hospital | Espanola, NM | Hospital |
Plains Regional Medical Center | Clovis, NM | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Presbyterian Healthcare Services | 9234041708 | 1119 |
Entity Name | Presbyterian Healthcare Services |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1104802354 PECOS PAC ID: 9234041708 Enrollment ID: O20031103000603 |
Entity Name | Unm Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1831218627 PECOS PAC ID: 4981795267 Enrollment ID: O20070801000589 |
Mailing Address | Practice Location Address |
---|---|
Richard M Feddersen, MD Po Box 26666, Phs Provider Enrollment, Albuquerque, NM 87125-6666 Ph: (505) 923-5356 | Richard M Feddersen, MD 1100 Central Ave Se, Pathology Associates, Albuquerque, NM 87106-4930 Ph: (505) 841-1259 |
Glynnis Ingall, Pathology Medicare: Not Enrolled in Medicare Practice Location: 2211 Lomas Blvd Ne, Albuquerque, NM 87106 Phone: 505-272-2445 | |
Dr. Larry Wayne Massie, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 1501 San Pedro Dr Se, Albuquerque, NM 87108 Phone: 505-256-5770 Fax: 505-256-5439 | |
Jennifer L Wheeler Buenger, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: Msc 10 5590, 1 University Of New Mexico, Albuquerque, NM 87131 Phone: 505-272-3053 Fax: 505-925-0546 | |
Dr. Joseph Ross Griggs, D.O. Pathology Medicare: Accepting Medicare Assignments Practice Location: Msc 08 4640, 1 University Of New Mexico, Albuquerque, NM 87131 Phone: 505-272-4814 Fax: 505-272-8084 | |
Zoe Sarah Sundell, MD Pathology Medicare: Medicare Enrolled Practice Location: 1 University Of New Mexico, Albuquerque, NM 87131 Phone: 505-272-4814 | |
Anne Bracey, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: Unm Hospital Pathology, 2211 Lomas Blvd Ne, Albuquerque, NM 87131 Phone: 505-272-6225 | |
Dr. James Anthony Halfacre Jr., M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 1100 Central Ave Se, Albuquerque, NM 87106 Phone: 505-841-1234 |