Roosevelt G Brasseur, MD | |
4038 Painted Pony Cir, Santa Fe, NM 87507-8447 | |
(505) 438-6191 | |
(505) 438-4574 |
Full Name | Roosevelt G Brasseur |
---|---|
Gender | Male |
Speciality | Optometrist |
Location | 4038 Painted Pony Cir, Santa Fe, 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 |
---|---|---|---|
1427152743 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 81-18 (New Mexico) | Primary |
Provider Name | Rosebud Indian Health Service |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1194757369 PECOS PAC ID: 6901704055 Enrollment ID: O20031226000337 |
Mailing Address | Practice Location Address |
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Roosevelt G Brasseur, MD 4038 Painted Pony Cir, Santa Fe, NM 87507-8447 Ph: (505) 438-6191 | Roosevelt G Brasseur, MD 4038 Painted Pony Cir, Santa Fe, NM 87507-8447 Ph: (505) 438-6191 |
Dr. Alexandra Corwin, O.D. (OPTOMETRIST) Optometrist Medicare: Accepting Medicare Assignments Practice Location: 3811 Cerrillos Rd Ste 103, Santa Fe, NM 87507 Phone: 505-989-9600 | |
Dr. Timothy Eugene Gordon, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 5701 Herrera Dr, Santa Fe, NM 87507 Phone: 505-424-9139 Fax: 505-424-1384 | |
Joanna Yee Tanaka, Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1700 Cerrillos Rd, Santa Fe, NM 87505 Phone: 505-946-9282 | |
Cindy Ung, Optometrist Medicare: Medicare Enrolled Practice Location: 1700 Cerrillos Rd, Santa Fe, NM 87505 Phone: 505-946-9282 | |
Clear Vision Inc. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 4201 Rodeo Rd, Santa Fe, NM 87507 Phone: 505-471-3020 Fax: 505-438-3481 | |
Botwin Eye Group Pa Optometrist Medicare: Medicare Enrolled Practice Location: 444 Saint Michaels Dr, Building A, Santa Fe, NM 87505 Phone: 505-954-4442 | |
Eye Design Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 41 Monterey Rd, Santa Fe, NM 87508 Phone: 505-466-4392 Fax: 505-466-4392 |