Peter Sedillo, CAA | |
2211 Lomas Blvd Ne, Albuquerque, NM 87106-2719 | |
(505) 272-2610 | |
Not Available |
Full Name | Peter Sedillo |
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Gender | Male |
Speciality | Anesthesiologist Assistant |
Location | 2211 Lomas Blvd Ne, Albuquerque, 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 |
---|---|---|---|
1639874464 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367H00000X | Anesthesiologist Assistant | AA2023-0013 (New Mexico) | Primary |
Entity Name | Unm Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1831218627 PECOS PAC ID: 4981795267 Enrollment ID: O20070801000589 |
Mailing Address | Practice Location Address |
---|---|
Peter Sedillo, CAA 800 Bradbury Dr Se Ste 116, Albuquerque, NM 87106-4310 Ph: (505) 272-1476 | Peter Sedillo, CAA 2211 Lomas Blvd Ne, Albuquerque, NM 87106-2719 Ph: (505) 272-2610 |
Jana Marie Huang, Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 2211 Lomas Blvd Ne, Albuquerque, NM 87106 Phone: 505-272-2111 | |
Jordan Thomas Schmidt, CAA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 2211 Lomas Blvd Ne, Albuquerque, NM 87106 Phone: 505-272-2610 | |
Paul James Mondo, AA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 933 Bradbury Dr Se, Ste. 2222, Albuquerque, NM 87106 Phone: 505-272-8950 | |
Emilie Gail Libson, AA-C Anesthesiologist Assistant Medicare: Not Enrolled in Medicare Practice Location: 2211 Lomas Blvd Ne, Albuquerque, NM 87106 Phone: 505-272-3119 | |
Scott David Loberg, AA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 2211 Lomas Blvd Ne, Albuquerque, NM 87106 Phone: 505-272-2111 | |
Rebecca Geballe, AA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 933 Bradbury Se, Suite 2222, Albuquerque, NM 87106 Phone: 505-272-3120 Fax: 505-272-8060 | |
Kimberly Ann Kopacz, AA-C Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 1 University Of New Mexico, Albuquerque, NM 87131 Phone: 505-272-2610 Fax: 505-272-1300 |