| Merit Family Medicine | |
|
4801 Mcmahon Blvd Nw Ste 245 Albuquerque NM 87114-5478 | |
| (505) 315-3541 | |
| (505) 445-4904 |
| Full Name | Merit Family Medicine |
|---|---|
| Speciality | Clinic/Center |
| Location | 4801 Mcmahon Blvd Nw Ste 245, Albuquerque, New Mexico |
| Authorized Official Name and Position | Jose Saavedra (BILLER/CREDENTIALER) |
| Authorized Official Contact | 5053153541 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Merit Family Medicine Po Box 44308 Rio Rancho NM 87174-4308 Ph: (505) 315-3541 | Merit Family Medicine 4801 Mcmahon Blvd Nw Ste 245 Albuquerque NM 87114-5478 Ph: (505) 315-3541 |
| NPI Number | 1881251411 |
|---|---|
| Provider Enumeration Date | 05/20/2019 |
| Last Update Date | 07/01/2024 |
| Medicare PECOS PAC ID | 3971839416 |
|---|---|
| Medicare Enrollment ID | O20190722003537 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881251411 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Brandy D Heaton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346719291 PECOS PAC ID: 9830436773 Enrollment ID: I20190130001479 |
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