Southwest Vascular & Vein Center is a medicare enrolled primary clinic (Family Medicine) in T Or C, New Mexico. The current practice location for Southwest Vascular & Vein Center is 909 N Date St, Suite B, T Or C, New Mexico. For appointments, you can reach them via phone at
(575) 636-2388. The mailing address for Southwest Vascular & Vein Center is Po Box 2707, Las Cruces, New Mexico and phone number is (575) 526-3625.
Southwest Vascular & Vein Center is licensed to practice in New Mexico (license number MD2011-0121). The clinic also participates in the medicare program and its
NPI number is 1851660229. This medical practice
accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at
(575) 636-2388.
Primary Care Clinic Profile
| Full Name | Southwest Vascular & Vein Center |
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| Speciality | Family Medicine |
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| Location | 909 N Date St, T Or C, New Mexico |
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| Authorized Official Name and Position | Chandran Vedamanikam (MEDICAL DIRECTOR) |
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| Authorized Official Contact | 5756362388 |
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| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
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Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Southwest Vascular & Vein Center
Po Box 2707
Las Cruces
NM 88004-2707
Ph: (575) 526-3625 | Southwest Vascular & Vein Center
909 N Date St
Suite B
T Or C
NM 87901-1747
Ph: (575) 636-2388 |
NPI Details:
| NPI Number | 1851660229 |
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| Provider Enumeration Date | 12/14/2011 |
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| Last Update Date | 09/23/2017 |
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Medicare PECOS Information:
| Medicare PECOS PAC ID | 5799942926 |
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| Medicare Enrollment ID | O20120131000388 |
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Medical Identifiers
Medical identifiers for Southwest Vascular & Vein Center such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1851660229 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | MD2011-0121 (New Mexico) | Primary |
| 261Q00000X | Clinic/center | MD2011-0121 (New Mexico) | Secondary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Southwest Vascular & Vein Center acts as a billing entity for following providers:
| Provider Name | Chandran Vedamanikam |
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| Provider Type | Practitioner - Family Practice |
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| Provider Identifiers | NPI Number: 1154585990
PECOS PAC ID: 4587838784
Enrollment ID: I20111128000789 |
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