| Aleracare Of New Mexico Inc | |
|
1800 Old Pecos Trl Ste E Santa Fe NM 87505-4759 | |
| (888) 209-8874 | |
| Not Available |
| Full Name | Aleracare Of New Mexico Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1800 Old Pecos Trl Ste E, Santa Fe, New Mexico |
| Authorized Official Name and Position | Scott Friedman (EXECUTIVE VP) |
| Authorized Official Contact | 8882098874 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Aleracare Of New Mexico Inc 4045 E Bell Rd Ste 157 Phoenix AZ 85032-2240 Ph: (888) 235-7067 | Aleracare Of New Mexico Inc 1800 Old Pecos Trl Ste E Santa Fe NM 87505-4759 Ph: (888) 209-8874 |
| NPI Number | 1699365965 |
|---|---|
| Provider Enumeration Date | 01/21/2021 |
| Last Update Date | 09/20/2024 |
| Medicare PECOS PAC ID | 0042625550 |
|---|---|
| Medicare Enrollment ID | O20210216000776 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699365965 | NPI | - | NPPES |
| Provider Name | Marianne Randall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669725537 PECOS PAC ID: 0143475871 Enrollment ID: I20130304000450 |
| Provider Name | Anna Hooley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952676991 PECOS PAC ID: 7911206651 Enrollment ID: I20160429001652 |
| Provider Name | Tiffany Dawn Shadle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750560298 PECOS PAC ID: 0941466973 Enrollment ID: I20170706000253 |
| Provider Name | Jodi Elizabeth Harrington |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679118558 PECOS PAC ID: 2668809831 Enrollment ID: I20200227002146 |
| Provider Name | Timothy J Burns |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245277243 PECOS PAC ID: 2365457330 Enrollment ID: I20200706003200 |
| Provider Name | Cierra Dorado |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386251957 PECOS PAC ID: 0648681783 Enrollment ID: I20201123000575 |
| Provider Name | Somaly Sith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033618293 PECOS PAC ID: 5799103529 Enrollment ID: I20210108001446 |
| Provider Name | Kelly M Obrien |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629701776 PECOS PAC ID: 8527435767 Enrollment ID: I20221101002435 |
| Provider Name | Natalie Waller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942915137 PECOS PAC ID: 6507228160 Enrollment ID: I20231221001861 |
| Provider Name | Jennifer Davidson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730762345 PECOS PAC ID: 9133520273 Enrollment ID: I20240308003567 |
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