| Sean Hearn Md Llc | |
|
5 Metate Dr Sandia Park NM 87047-8508 | |
| (651) 246-8126 | |
| Not Available |
| Full Name | Sean Hearn Md Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 5 Metate Dr, Sandia Park, New Mexico |
| Authorized Official Name and Position | Sean Timothy Hearn (FAMILY MEDICINE/ PSYCHOANALYST) |
| Authorized Official Contact | 6512468126 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sean Hearn Md Llc 5 Metate Dr Sandia Park NM 87047-8508 Ph: (651) 246-8126 | Sean Hearn Md Llc 5 Metate Dr Sandia Park NM 87047-8508 Ph: (651) 246-8126 |
| NPI Number | 1689085466 |
|---|---|
| Provider Enumeration Date | 05/14/2014 |
| Last Update Date | 08/21/2024 |
| Certification Date | 08/21/2024 |
| Medicare PECOS PAC ID | 8921222076 |
|---|---|
| Medicare Enrollment ID | O20140612000612 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689085466 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | 35931 (Minnesota) | Primary |
| Provider Name | Sean Timothy Hearn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477516425 PECOS PAC ID: 1052304854 Enrollment ID: I20040407000282 |
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