| Kathy Rebecca Fresquez-chavez, CFNP | |
|
328 Main St Ne, Los Lunas, NM 87031-7454 | |
| (505) 916-5167 | |
| (505) 916-5170 |
| Full Name | Kathy Rebecca Fresquez-chavez |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 26 Years |
| Location | 328 Main St Ne, Los Lunas, New Mexico |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497762983 | NPI | - | NPPES |
| 84304235 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | R37352 (New Mexico) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Bella Vida Health Care And Medi Spa | 6507092327 | 10 |
| Entity Name | Bella Vida Health Care And Medi Spa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568704237 PECOS PAC ID: 6507092327 Enrollment ID: O20131126000443 |
| Mailing Address | Practice Location Address |
|---|---|
| Kathy Rebecca Fresquez-chavez, CFNP Po Box 486, Los Lunas, NM 87031-0486 Ph: (505) 916-5167 | Kathy Rebecca Fresquez-chavez, CFNP 328 Main St Ne, Los Lunas, NM 87031-7454 Ph: (505) 916-5167 |
Jessica Wood, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1400 Main St Nw, Los Lunas, NM 87031 Phone: 505-916-0533 | |
Ms. Twila Kay Reider, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 127 Sandoval Rd Sw, Los Lunas, NM 87031 Phone: 505-865-3373 Fax: 505-865-2078 | |
Mrs. Elsa Marie Gonzales, MSN, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 200 Emilio Lopez Rd Nw, Los Lunas, NM 87031 Phone: 505-866-2700 Fax: 505-866-2701 | |
Tiara T Muhr, RN, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 111 Sandoval Rd Sw, Los Lunas, NM 87031 Phone: 505-565-4355 | |
Mrs. Diana Lee Gutierrez, AGACNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2210 Sunranch Village Loop Suite A, Suite A, Los Lunas, NM 87031 Phone: 505-361-2111 Fax: 505-401-4486 | |
Mayela Johnson, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 235 Main St Se, Los Lunas, NM 87031 Phone: 817-897-5310 | |
Ms. Julianne Marie Stangel, RN,NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1375 Vista Hill Ct Sw, Los Lunas, NM 87031 Phone: 505-565-0630 |