Southeast New Mexico Podiatry | |
1016 W Pierce St, Carlsbad, NM 88220-4013 | |
(575) 885-3445 | |
(575) 887-0163 |
Full Name | Southeast New Mexico Podiatry |
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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 |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1285637041 PECOS PAC ID: 6103894043 Enrollment ID: I20080505000575 |
Provider Name | Lyle Rey Folsom |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1770698334 PECOS PAC ID: 9739268590 Enrollment ID: I20100319000174 |
Provider Name | Jordan P Day |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1265783997 PECOS PAC ID: 1658597364 Enrollment ID: I20140731002688 |
Provider Name | Matthew William Elwood Lewin |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1245618842 PECOS PAC ID: 7214258979 Enrollment ID: I20181106001688 |
Provider Name | Joshua Dean Adams |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1386170777 PECOS PAC ID: 7012330210 Enrollment ID: I20210628002481 |
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 |
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Southeast New Mexico Podiatry 1016 W Pierce St, Carlsbad, NM 88220-4013 Ph: (575) 885-3445 | Southeast New Mexico Podiatry 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 |