Bruce A Andersen, DPM | |
109 Railroad Ave, Las Vegas, NM 87701 | |
(505) 425-9491 | |
(505) 454-8171 |
Full Name | Bruce A Andersen |
---|---|
Gender | Male |
Speciality | Podiatrist |
Location | 109 Railroad Ave, Las Vegas, 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 |
---|---|---|---|
1609960699 | NPI | - | NPPES |
005351 | Other | BCBS | |
10478 | Other | PRESBYTERIAN HP |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213E00000X | Podiatrist | 163 (New Mexico) | Primary |
Provider Name | State Of New Mexico |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1992867998 PECOS PAC ID: 2062412869 Enrollment ID: O20091021000191 |
Mailing Address | Practice Location Address |
---|---|
Bruce A Andersen, DPM 109 Railroad Ave, Las Vegas, NM 87701 Ph: (505) 425-9491 | Bruce A Andersen, DPM 109 Railroad Ave, Las Vegas, NM 87701 Ph: (505) 425-9491 |
Julien Adicho, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1608 7th St Ste B, Las Vegas, NM 87701 Phone: 718-963-7332 | |
Lindsy Laura Kragt Allen, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1608 7th St, Las Vegas, NM 87701 Phone: 505-395-9575 Fax: 505-466-5166 | |
Las Vegas Foot Specialist, Inc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 109 Railroad Ave, Las Vegas, NM 87701 Phone: 505-425-9491 Fax: 505-454-8171 | |
Dr. Alexander Ramirez, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1608 7th St Ste B, Las Vegas, NM 87701 Phone: 505-425-3569 | |
Foot And Ankle Specialists Of Northern New Mexico Podiatrist Medicare: Medicare Enrolled Practice Location: 105 Mills Ave, Ste 100, Las Vegas, NM 87701 Phone: 505-425-3569 Fax: 505-434-0042 |