| Sandrock Podiatry Llc | |
|
4707 Rio St, Farmington, NM 87402-5323 | |
| (505) 787-9035 | |
| Not Available |
| Full Name | Sandrock Podiatry Llc |
|---|---|
| Type | Facility |
| Speciality | Podiatrist |
| Location | 4707 Rio St, Farmington, New Mexico |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124809066 | NPI | - | NPPES |
| 6N8581 | Other | NM | NM-GROUP MEDICARE PTAN |
| 74122355 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213E00000X | Podiatrist | (* (Not Available)) | Primary |
| 213EP1101X | Podiatrist - Primary Podiatric Medicine | (* (Not Available)) | Secondary |
| Provider Name | Eric C Haag |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1659524643 PECOS PAC ID: 0345421137 Enrollment ID: I20230303000047 |
| Mailing Address | Practice Location Address |
|---|---|
| Sandrock Podiatry Llc 4707 Rio St, Farmington, NM 87402-5323 Ph: (505) 787-9003 | Sandrock Podiatry Llc 4707 Rio St, Farmington, NM 87402-5323 Ph: (505) 787-9035 |
Innovation Medical Group Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 4740 N Butler Ave, Farmington, NM 87401 Phone: 505-324-6300 Fax: 505-327-2218 | |
Samuel C. Carpenter, Dpmpc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 4801 N Butler Ave, Suite 9102, Farmington, NM 87401 Phone: 505-327-3338 Fax: 505-566-9213 | |
Bryan Kent Broadbent, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 2300 E 30th St Bldg D-101, Farmington, NM 87401 Phone: 505-327-1400 Fax: 505-564-3202 | |
Dr. Samuel C Carpenter, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 304 S Lake St, Ste 104, Farmington, NM 87401 Phone: 505-327-3338 Fax: 505-566-9213 | |
Dr. Lawrence O Ward, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 2300 E 30th St Bldg D Ste 101, Farmington, NM 87401 Phone: 505-327-1400 Fax: 505-564-3202 | |
Taylor G Wright Pc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 4760 N Butler Ave Ste B2, Farmington, NM 87401 Phone: 505-324-6300 Fax: 505-327-2218 |