Dr Yilma Kebede Kebelo, MD, DPM | |
2421 W 21st St Ste B, Clovis, NM 88101-2006 | |
(575) 769-7577 | |
Not Available |
Full Name | Dr Yilma Kebede Kebelo |
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Gender | Male |
Speciality | Podiatrist - Foot & Ankle Surgery |
Location | 2421 W 21st St Ste B, Clovis, 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 |
---|---|---|---|
1306334644 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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213ES0103X | Podiatrist - Foot & Ankle Surgery | POD2024-0010 (New Mexico) | Primary |
213ES0103X | Podiatrist - Foot & Ankle Surgery | E5786 (California) | Secondary |
Provider Name | Foot Ankle & Lower Leg Specialists |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1912645250 PECOS PAC ID: 7810377736 Enrollment ID: O20220708001803 |
Mailing Address | Practice Location Address |
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Dr Yilma Kebede Kebelo, MD, DPM Po Box 26666, Albuquerque, NM 87125-6666 Ph: (505) 923-5361 | Dr Yilma Kebede Kebelo, MD, DPM 2421 W 21st St Ste B, Clovis, NM 88101-2006 Ph: (575) 769-7577 |
Dr. Devin Dean Wahlen, D.P.M. Podiatrist Medicare: May Accept Medicare Assignments Practice Location: 1820 W 21st St, Clovis, NM 88101 Phone: 208-351-4559 | |
Eastern New Mexico Foot & Ankle, Pc Podiatrist Medicare: Medicare Enrolled Practice Location: 1820 W 21st St, Clovis, NM 88101 Phone: 208-351-4559 | |
Mr. Steven T. Naggs, D.P.M. Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 1937 W 21st St, Clovis, NM 88101 Phone: 505-762-5045 Fax: 505-762-5242 |