| Inetmed Rx2 Inc. | |
|
1505 S Don Roser Dr Suite A Las Cruces NM 88011-4596 | |
| (575) 636-2506 | |
| (575) 288-2691 |
| Full Name | Inetmed Rx2 Inc. |
|---|---|
| Speciality | Psychologist |
| Location | 1505 S Don Roser Dr, Las Cruces, New Mexico |
| Authorized Official Name and Position | Pattijo N Velasquez (COO) |
| Authorized Official Contact | 5756362506 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Inetmed Rx2 Inc. 1505 S Don Roser Dr Suite A Las Cruces NM 88011-4596 Ph: (575) 636-2506 | Inetmed Rx2 Inc. 1505 S Don Roser Dr Suite A Las Cruces NM 88011-4596 Ph: (575) 636-2506 |
| NPI Number | 1487107363 |
|---|---|
| Provider Enumeration Date | 07/27/2016 |
| Last Update Date | 05/12/2017 |
| Medicare PECOS PAC ID | 2062796709 |
|---|---|
| Medicare Enrollment ID | O20170224002051 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487107363 | NPI | - | NPPES |
| 06035710 | Medicaid | NM |
| Provider Name | Thomas C Thompson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1215004668 PECOS PAC ID: 7113024977 Enrollment ID: I20070514000276 |
| Provider Name | Pattijo N Velasquez |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1730203860 PECOS PAC ID: 7113992181 Enrollment ID: I20141023001647 |
| Provider Name | Daubney Marsh Boland |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1144579632 PECOS PAC ID: 2062736390 Enrollment ID: I20150115000941 |
| Provider Name | Doris E Nevin |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1902017114 PECOS PAC ID: 3476501610 Enrollment ID: I20170623000085 |
| Provider Name | John P Gibbons |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1508106808 PECOS PAC ID: 0143465765 Enrollment ID: I20200327002345 |
| Provider Name | Casey L Mcdougall |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1548563620 PECOS PAC ID: 7315126307 Enrollment ID: I20200401000376 |
| Provider Name | Marshall Schroeder |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1790154961 PECOS PAC ID: 1850745977 Enrollment ID: I20230922003220 |
| Provider Name | Jessica Rodriguez-herrera |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1215504485 PECOS PAC ID: 4789022401 Enrollment ID: I20240401001704 |
| Provider Name | William C Prince |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1912006024 PECOS PAC ID: 8224470117 Enrollment ID: I20240523001402 |
Fyi Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1320 S. Solano Drive, Las Cruces, NM 88001 Phone: 505-522-4004 Fax: 505-522-9017 | |
Healty Start Program Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 570 W Griggs Ave, Las Cruces, NM 88005 Phone: 575-524-0767 Fax: 575-528-5539 | |
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Linda C Daniels Phd Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1990 E Lohman Ave, Suite 202, Las Cruces, NM 88001 Phone: 575-528-6166 | |
Grabasch Associates Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 619 N Alameda Blvd, Las Cruces, NM 88005 Phone: 419-204-6612 Fax: 419-204-6612 | |
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