| Mary M Kenyon, CNP | |
|
Cross Heart Care, 848 N 4th St., Fort Sumner, NM 88119 | |
| (575) 355-2273 | |
| Not Available |
| Full Name | Mary M Kenyon |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 10 Years |
| Location | Cross Heart Care, Fort Sumner, 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 |
|---|---|---|---|
| 1366824963 | NPI | - | NPPES |
| 80784275 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | CNP-02696 (New Mexico) | Primary |
| Entity Name | Guadalupe County |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346249968 PECOS PAC ID: 9335118918 Enrollment ID: O20110629000074 |
| Entity Name | Sunrise Clinics |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164055927 PECOS PAC ID: 6800226374 Enrollment ID: O20200423002808 |
| Entity Name | Cross Heart Care Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790453561 PECOS PAC ID: 2365849395 Enrollment ID: O20210917002079 |
| Mailing Address | Practice Location Address |
|---|---|
| Mary M Kenyon, CNP Po Box 928, Fort Sumner, NM 88119-0928 Ph: (575) 355-2273 | Mary M Kenyon, CNP Cross Heart Care, 848 N 4th St., Fort Sumner, NM 88119 Ph: (575) 355-2273 |
Mrs. Darlene G Jenkins, CFNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 546 North 10th St., Fort Sumner, NM 88119 Phone: 575-355-2444 Fax: 575-253-4214 | |
Laney Pierce, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 546 N 10th Street, Fort Sumner, NM 88119 Phone: 575-355-2414 Fax: 575-355-7894 |