Vidya Subramanian, MD | |
1010 Spruce St, Espanola Multi-specialty Clinic, Espanola, NM 87532 | |
(505) 367-0340 | |
(505) 367-0346 |
Full Name | Vidya Subramanian |
---|---|
Gender | Female |
Speciality | Family Practice |
Experience | 27 Years |
Location | 1010 Spruce St, Espanola, New Mexico |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1073639977 | NPI | - | NPPES |
3186831 | Medicaid | NM |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | MD2005-0040 (New Mexico) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Lovelace Women's Hospital | Albuquerque, NM | Hospital |
Lovelace Westside Hospital | Albuquerque, NM | Hospital |
Lovelace Medical Center | Albuquerque, NM | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Southwest Medical Associates, Llc | 7214831114 | 307 |
Entity Name | Southwest Medical Associates, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1164491072 PECOS PAC ID: 7214831114 Enrollment ID: O20031121000724 |
Mailing Address | Practice Location Address |
---|---|
Vidya Subramanian, MD Po Box 26666, Phs Provider Enrollment, Albuquerque, NM 87125-6666 Ph: (505) 923-5356 | Vidya Subramanian, MD 1010 Spruce St, Espanola Multi-specialty Clinic, Espanola, NM 87532 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 | |
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 |