| Eric Grasser Md Llc | |
|
1925 Aspen Dr Ste 502a Santa Fe NM 87505-5559 | |
| (505) 983-9878 | |
| (505) 629-1095 |
| Full Name | Eric Grasser Md Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 1925 Aspen Dr Ste 502a, Santa Fe, New Mexico |
| Authorized Official Name and Position | Eric Grasser (OWNER) |
| Authorized Official Contact | 5054533756 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Eric Grasser Md Llc 1925 Aspen Dr Ste 502a Santa Fe NM 87505-5559 Ph: (505) 983-9878 | Eric Grasser Md Llc 1925 Aspen Dr Ste 502a Santa Fe NM 87505-5559 Ph: (505) 983-9878 |
| NPI Number | 1255625687 |
|---|---|
| Provider Enumeration Date | 06/02/2011 |
| Last Update Date | 01/26/2017 |
| Medicare PECOS PAC ID | 0749614410 |
|---|---|
| Medicare Enrollment ID | O20200106001576 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255625687 | NPI | - | NPPES |
| NMAAA1077 | Other | MEDICARE PTAN | |
| 68576358 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 2003-0151 (New Mexico) | Primary |
| Provider Name | Eric L Grasser |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962474635 PECOS PAC ID: 2769451392 Enrollment ID: I20041118000286 |
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