Wendy Davis, MD | |
105 Mills Ave Ste 200, Las Vegas, NM 87701-4169 | |
(505) 426-3795 | |
Not Available |
Full Name | Wendy Davis |
---|---|
Gender | Female |
Speciality | General Surgery |
Experience | 29 Years |
Location | 105 Mills Ave Ste 200, Las Vegas, 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 |
---|---|---|---|
1962488288 | NPI | - | NPPES |
00868612C | Medicaid | GA | |
000868612B | Medicaid | GA | |
G40257 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 042057 (Georgia) | Secondary |
208600000X | Surgery | MD2016-0938 (New Mexico) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Presbyterian Hospital | Albuquerque, 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 | Rural Surgical Associates Of Las Vegas Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801309018 PECOS PAC ID: 1456611151 Enrollment ID: O20180126001596 |
Mailing Address | Practice Location Address |
---|---|
Wendy Davis, MD 2101 Central Avenue, Augusta, GA 30904 Ph: (706) 738-3359 | Wendy Davis, MD 105 Mills Ave Ste 200, Las Vegas, NM 87701-4169 Ph: (505) 426-3795 |
Dr. Teddi Swidinsky, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 108 Legion Dr Ste B, Las Vegas, NM 87701 Phone: 505-426-3795 | |
Dr. Humberto D Martinez, MD Surgery Medicare: Medicare Enrolled Practice Location: 105 Mills Ave Ste 200, Las Vegas, NM 87701 Phone: 505-426-3795 Fax: 505-368-7011 | |
Timothy Antonio Jessie, MD Surgery Medicare: Medicare Enrolled Practice Location: 105 Mills Ave Ste 200, Las Vegas, NM 87701 Phone: 505-426-3795 Fax: 505-425-2653 |