Bradley Walters, PAC | |
11501 Montgomery Blvd Ne, Albuquerque, NM 87111-2796 | |
(505) 814-1333 | |
(505) 990-3437 |
Full Name | Bradley Walters |
---|---|
Gender | Male |
Speciality | Physician Assistant |
Experience | 11 Years |
Location | 11501 Montgomery Blvd Ne, Albuquerque, New Mexico |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1386077196 | NPI | - | NPPES |
58688005 | Medicaid | NM |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363A00000X | Physician Assistant | PA2013-0052 (New Mexico) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Albuquerque Indian Health Center | 7719883164 | 42 |
Mailing Address | Practice Location Address |
---|---|
Bradley Walters, PAC Po Box 26666, Phs Provider Enrollment, Albuquerque, NM 87125-6666 Ph: (505) 923-6770 | Bradley Walters, PAC 11501 Montgomery Blvd Ne, Albuquerque, NM 87111-2796 Ph: (505) 814-1333 |
Audra Dawn Clemens, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 303 Roma Ave Nw, Albuquerque, NM 87102 Phone: 505-262-3542 | |
Jessica Rose Gonzalez, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 5904 Holly Ave Ne, Albuquerque, NM 87113 Phone: 505-298-2505 | |
Elise Nicole Pedigo, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 630 Haines Ave Nw, Albuquerque, NM 87102 Phone: 505-268-5611 Fax: 505-268-5736 | |
Mrs. Danielle Kimberly Mccarthy, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 8301 Spain Rd Ne, Albuquerque, NM 87109 Phone: 505-821-6663 | |
Ms. Lauren Soules, P.A.-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3615 Highway 528 Nw, Albuquerque, NM 87114 Phone: 505-248-1518 | |
Jennifer Lynn Otis, Physician Assistant Medicare: Medicare Enrolled Practice Location: 3741 Rutledge Rd Ne, Albuquerque, NM 87109 Phone: 505-798-9300 Fax: 505-798-0808 | |
Luke Ezekiel Glazener, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1100 Central Ave Se, Albuquerque, NM 87106 Phone: 505-841-1125 |