Mary Teresa Omeddo, RN is a
Registered Nurse - Community Health based in Santo Domingo, New Mexico. Mary Teresa Omeddo is licensed to practice in New Mexico (license number 65654) and her current practice location is
85 West Hwy 22, Santo Domingo, New Mexico. She can be reached at her office (for appointments etc.) via phone at
(505) 465-3060.
NPI number for Mary Teresa Omeddo is 1306506019 and her current mailing address is Po Box 340, Santo Domingo Pueblo, New Mexico. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1306506019.
Provider's Profile
Full Name | Mary Teresa Omeddo |
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Gender | Female |
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Speciality | Registered Nurse - Community Health |
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Location | 85 West Hwy 22, Santo Domingo, New Mexico |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1306506019
- Provider Enumeration Date: 12/21/2021
- Last Update Date: 03/22/2023
Medical Identifiers
Medical identifiers for Mary Teresa Omeddo such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1306506019 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163WC1500X | Registered Nurse - Community Health | 889413 (Texas) | Secondary |
163WC1500X | Registered Nurse - Community Health | 65654 (New Mexico) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mary Teresa Omeddo is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mary Teresa Omeddo, RN Po Box 340, Santo Domingo Pueblo, NM 87052-0340 Ph: () - | Mary Teresa Omeddo, RN 85 West Hwy 22, Santo Domingo, NM 87052 Ph: (505) 465-3060 |
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