Susan Roberts, DO | |
2050a 2nd St Se, Kirtland Afb, NM 87117-5522 | |
(505) 846-3200 | |
Not Available |
Full Name | Susan Roberts |
---|---|
Gender | Female |
Speciality | Family Medicine |
Location | 2050a 2nd St Se, Kirtland Afb, 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 |
---|---|---|---|
1437158896 | NPI | - | NPPES |
153862101 | Medicaid | TX | |
00002166 | Medicaid | NM |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | K2574 (Texas) | Secondary |
207Q00000X | Family Medicine | A-1723-13 (New Mexico) | Primary |
Entity Name | Nuch Of Texas |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760722334 PECOS PAC ID: 4880833698 Enrollment ID: O20130626000489 |
Mailing Address | Practice Location Address |
---|---|
Susan Roberts, DO Po Box 26028, Clinician Services, Albuquerque, NM 87125-6028 Ph: (505) 237-8700 | Susan Roberts, DO 2050a 2nd St Se, Kirtland Afb, NM 87117-5522 Ph: (505) 846-3200 |
Dr. Patric Yves Nassaux, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 2050a Second Street Se,, Kirtland Afb, NM 87111 Phone: 505-853-1611 | |
Evan Robert Locke, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 2050a 2nd St Se, Kirtland Afb, NM 87117 Phone: 505-846-3200 | |
Andrew Alton, Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2050a 2nd St Se, Kirtland Afb, NM 87117 Phone: 505-846-3200 | |
Dr. Antonio J. Eppolito, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2050 2nd St Se, Kirtland Afb, NM 87117 Phone: 505-853-0140 | |
Jay Ronald Allen, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2050a 2nd St Se, Kirtland Afb, NM 87117 Phone: 505-846-3562 | |
Dr. Kenneth Egerstrom, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2050a 2nd St Se, Kirtland Afb, NM 87117 Phone: 505-846-7695 |