| Pangea Medical | |
|
405 W Country Club Rd Roswell NM 88201-5209 | |
| (575) 624-2095 | |
| (575) 208-0780 |
| Full Name | Pangea Medical |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 405 W Country Club Rd, Roswell, New Mexico |
| Authorized Official Name and Position | Steven R Black (MANAGING MEMBER) |
| Authorized Official Contact | 5756242095 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pangea Medical Po Box 8244 Roswell NM 88202-8244 Ph: (575) 624-2095 | Pangea Medical 405 W Country Club Rd Roswell NM 88201-5209 Ph: (575) 624-2095 |
| NPI Number | 1255786703 |
|---|---|
| Provider Enumeration Date | 05/03/2016 |
| Last Update Date | 10/21/2022 |
| Medicare PECOS PAC ID | 0042591471 |
|---|---|
| Medicare Enrollment ID | O20161227000266 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255786703 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | MD2011-0547 (New Mexico) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | MD2011-0547 (New Mexico) | Primary |
| Provider Name | Steven Ray Black |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1578546438 PECOS PAC ID: 0547288581 Enrollment ID: I20120608000086 |
Donald J Willis D.o. P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 313 W Country Club Rd, Suite 9, Roswell, NM 88201 Phone: 575-624-2095 Fax: 575-627-5721 | |
Southern New Mexico Medical Association, Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 303 W. Country Club Rd, Roswell, NM 88201 Phone: 505-623-1442 Fax: 505-623-3835 | |
App Of New Mexico Hm Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 405 W Country Club Rd, Roswell, NM 88201 Phone: 575-622-8170 Fax: 629-216-0568 | |
Roswell Hospital Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 712 W Hobbs St, Roswell, NM 88203 Phone: 575-623-5263 | |
Roswell Osteopathic Medical Clinic, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 111 W. Hobbs St., Roswell, NM 88203 Phone: 575-623-3311 Fax: 575-622-1273 | |
Lovelace Health System, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1627 S Union Ave, Roswell, NM 88203 Phone: 575-208-0106 | |
Eye Catchers Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 204 E College Blvd, Roswell, NM 88201 Phone: 575-625-9800 Fax: 575-624-1724 |