| Healthnm, Llc | |
|
701 Osuna Rd Ne Ste 600 Albuquerque NM 87113-0009 | |
| (505) 404-0295 | |
| (505) 521-5157 |
| Full Name | Healthnm, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 701 Osuna Rd Ne Ste 600, Albuquerque, New Mexico |
| Authorized Official Name and Position | Lilia Margarita Pedrego (PHYSICIAN/FOUNDER/CEO) |
| Authorized Official Contact | 5054534590 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Healthnm, Llc 701 Osuna Rd Ne Ste 600 Albuquerque NM 87113-0009 Ph: (505) 404-0295 | Healthnm, Llc 701 Osuna Rd Ne Ste 600 Albuquerque NM 87113-0009 Ph: (505) 404-0295 |
| NPI Number | 1053952473 |
|---|---|
| Provider Enumeration Date | 10/07/2019 |
| Last Update Date | 03/08/2024 |
| Medicare PECOS PAC ID | 8820406150 |
|---|---|
| Medicare Enrollment ID | O20210426001311 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053952473 | NPI | - | NPPES |
| 99131013 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Lilia M Pedrego |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770895054 PECOS PAC ID: 9830412824 Enrollment ID: I20141223002189 |
| Provider Name | Katrina Olivas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609467182 PECOS PAC ID: 7517373723 Enrollment ID: I20210315000649 |
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