| Donita Sue Demontiney, PA-C | |
|
80 B Veterans Blvd, I-40, Exit 102, Acoma, NM 87034 | |
| (505) 552-5300 | |
| (505) 552-5828 |
| Full Name | Donita Sue Demontiney |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 80 B Veterans Blvd, Acoma, New Mexico |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811179211 | NPI | - | NPPES |
| H3451 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 0530 (South Dakota) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Donita Sue Demontiney, PA-C Po Box 130, Attn Acl Provider Enrollment, San Fidel, NM 87049-0130 Ph: (505) 552-5300 | Donita Sue Demontiney, PA-C 80 B Veterans Blvd, I-40, Exit 102, Acoma, NM 87034 Ph: (505) 552-5300 |
Lisa R. Humphries, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 80 B Veterans Blvd, Acoma, NM 87034 Phone: 505-552-5300 Fax: 505-552-5805 | |
Michael P Bonnet, PAC Physician Assistant Medicare: Medicare Enrolled Practice Location: 80 B Veterans Blvd, I-40, Exit 102, Acoma, NM 87034 Phone: 505-552-5300 Fax: 505-552-5828 | |
Ms. Noreen Tresa Jack-mooney, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 80 B Veterans Blvd, I-40, Exit 102, Acoma, NM 87034 Phone: 505-552-5300 Fax: 505-552-5828 | |
Mr. Joseph W Morris, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 80 B Veterans Blvd, I-40, Exit 102, Acoma, NM 87034 Phone: 505-552-5300 Fax: 505-552-5828 | |
Brenda Y Pacheco, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 80 B Veterans Blvd, Acoma, NM 87034 Phone: 505-552-5300 Fax: 505-552-5490 |