Thomas R Hernandez, MD | |
4801 Beckner Rd, Level 2 Pod 1 Ste 2600, Santa Fe, NM 87507-0000 | |
(505) 772-2000 | |
Not Available |
Full Name | Thomas R Hernandez |
---|---|
Gender | Male |
Speciality | Pediatrics |
Location | 4801 Beckner Rd, Santa Fe, 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 |
---|---|---|---|
1568440428 | NPI | - | NPPES |
8191884 | Other | WA | DSHS NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | MD2021-0914 (New Mexico) | Secondary |
208000000X | Pediatrics | MD00033054 (Washington) | Primary |
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 |
Mailing Address | Practice Location Address |
---|---|
Thomas R Hernandez, MD Po Box 26666, Provider Enrollment, Albuquerque, NM 87125-6666 Ph: (505) 923-6770 | Thomas R Hernandez, MD 4801 Beckner Rd, Level 2 Pod 1 Ste 2600, Santa Fe, NM 87507-0000 Ph: (505) 772-2000 |
Dr. Christopher Miles Johnson, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1850 Bandelier Court, Santa Fe, NM 87505 Phone: 505-795-3208 | |
Daniel Agee Coles, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1700 Cerrillos Rd, Santa Fe, NM 87505 Phone: 505-988-9821 | |
Wanicha Buraphacheep-coggins, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2040 S Pacheco St, Nm Doh Family Planning Program, Santa Fe, NM 87505 Phone: 505-476-8870 Fax: 505-476-8898 | |
Dr. Victor Lacerva, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 52 Zambra Way, Santa Fe, NM 87506 Phone: 505-983-4233 | |
Dr. Roberto Thaddeus Araiza, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2025 Galisteo St, Santa Fe, NM 87505 Phone: 505-995-4901 Fax: 505-989-6426 | |
Comfort Bonu, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 455 Saint Michaels Dr, St. Vincent Hospitalist Group, Santa Fe, NM 87505 Phone: 505-989-6130 Fax: 505-820-5408 | |
Dr. Cecilia L Concepcion, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 5501 Herrera Dr, Santa Fe, NM 87507 Phone: 505-913-3233 Fax: 505-913-3234 |