Stacy Ali, | |
5555 Zuni Rd Se Ste 11, Albuquerque, NM 87108-2935 | |
(505) 777-3002 | |
Not Available |
Full Name | Stacy Ali |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 5555 Zuni Rd Se Ste 11, 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 |
---|---|---|---|
1255415451 | NPI | - | NPPES |
44609736 | Medicaid | NM | |
936057 | Medicaid | AZ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | AP3006906 (Washington) | Secondary |
363LF0000X | Nurse Practitioner - Family | 67604 (New Mexico) | Primary |
Entity Name | Oak Street Health Physicians Group Of New Mexico Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134793151 PECOS PAC ID: 4981001096 Enrollment ID: O20210916000169 |
Mailing Address | Practice Location Address |
---|---|
Stacy Ali, Po Box 740018, Atlanta, GA 30374-0018 Ph: (773) 352-1517 | Stacy Ali, 5555 Zuni Rd Se Ste 11, Albuquerque, NM 87108-2935 Ph: (505) 777-3002 |
Mrs. Kristell L Michael, APN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: Us Air Force 377 Mdg/sghc 2050a Second Street Se, Albuquerque, NM 87117 Phone: 505-846-3562 Fax: 334-953-8607 | |
Mr. Michael Alan Wallace, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 8210 Louisiana Blvd Ne, Suite C, Albuquerque, NM 87113 Phone: 505-858-1222 Fax: 505-858-1224 | |
Ms. Maureen Kolomeir, RN, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5345 Wyoming Blvd, Suite 101, Albuquerque, NM 87109 Phone: 505-856-6898 Fax: 505-292-1574 | |
Patricia J Miller, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: Care Campus, 5901 Zuni Rd Se, Albuquerque, NM 87108 Phone: 505-321-4269 | |
Mrs. Jessika Junick, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3825 Eubank Blvd Ne Ste A, Albuquerque, NM 87111 Phone: 505-292-8575 Fax: 505-292-8409 | |
Phyllis Annette Ingham, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1100 Lead Ave Se, Albuquerque, NM 87106 Phone: 505-224-7000 | |
Debra Vaccaro, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3500 Comanche Rd Ne Ste C, Albuquerque, NM 87107 Phone: 505-998-7200 Fax: 505-998-7220 |