| B2 Healthcare Group Llc | |
|
8204 Louisiana Blvd Ne Ste A Albuquerque NM 87113-1737 | |
| (505) 582-2180 | |
| (505) 639-4145 |
| Full Name | B2 Healthcare Group Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 8204 Louisiana Blvd Ne Ste A, Albuquerque, New Mexico |
| Authorized Official Name and Position | Ava A Boswell (OWNER) |
| Authorized Official Contact | 5054805156 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| B2 Healthcare Group Llc Po Box 16196 Albuquerque NM 87191-6196 Ph: (505) 480-5156 | B2 Healthcare Group Llc 8204 Louisiana Blvd Ne Ste A Albuquerque NM 87113-1737 Ph: (505) 582-2180 |
| NPI Number | 1891318747 |
|---|---|
| Provider Enumeration Date | 05/27/2020 |
| Last Update Date | 04/25/2022 |
| Certification Date | 04/25/2022 |
| Medicare PECOS PAC ID | 8123445954 |
|---|---|
| Medicare Enrollment ID | O20200825002725 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891318747 | NPI | - | NPPES |
| Provider Name | Cheri Koinis |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1205125143 PECOS PAC ID: 6507037363 Enrollment ID: I20110927000861 |
| Provider Name | Ava A Boswell |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1679969497 PECOS PAC ID: 5193039618 Enrollment ID: I20190730001108 |
| Provider Name | Andrea Diane Zummo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649787201 PECOS PAC ID: 6305264466 Enrollment ID: I20200922001759 |
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