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1016 W Pierce St, Carlsbad, NM 88220-4013 | |
| (575) 885-3445 | |
| (575) 887-0163 |
| Full Name | |
|---|---|
| Type | Facility |
| Speciality | Podiatrist - Foot & Ankle Surgery |
| Location | 1016 W Pierce St, Carlsbad, 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 |
|---|---|---|---|
| 1235226614 | NPI | - | NPPES |
| 89008863 | Medicaid | NM | |
| DA5243 | Other | NM | RR MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213E00000X | Podiatrist | (* (Not Available)) | Secondary |
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | (* (Not Available)) | Primary |
| Provider Name | Derik J Brown |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1285637041 PECOS PAC ID: 6103894043 Enrollment ID: I20080505000575 |
| Provider Name | Lyle Rey Folsom |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1770698334 PECOS PAC ID: 9739268590 Enrollment ID: I20100319000174 |
| Provider Name | Joshua Cady |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1003392457 PECOS PAC ID: 4587914205 Enrollment ID: I20231115001171 |
| Mailing Address | Practice Location Address |
|---|---|
1016 W Pierce St, Carlsbad, NM 88220-4013 Ph: (575) 885-3445 | 1016 W Pierce St, Carlsbad, NM 88220-4013 Ph: (575) 885-3445 |
Dr. Leon Cohen, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 1002 W Pierce St, Carlsbad, NM 88220 Phone: 575-885-3445 Fax: 575-887-0163 | |
Dr. Derik J Brown, DPM Podiatrist Medicare: Medicare Enrolled Practice Location: 1016 W Pierce St, Carlsbad, NM 88220 Phone: 575-885-3445 Fax: 575-887-0163 | |
Mr. Joshua Dean Adams, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1016 W Pierce St, Carlsbad, NM 88220 Phone: 575-885-3445 Fax: 575-887-0163 | |
Dr. Lyle Rey Folsom, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1016 W Pierce St, Carlsbad, NM 88220 Phone: 575-885-3445 Fax: 575-887-0163 |