| Twilight Physician Group | |
|
4273 Montgomery Blvd Ne Ste 110 Albuquerque NM 87109-6746 | |
| (505) 512-1880 | |
| (866) 502-2372 |
| Full Name | Twilight Physician Group |
|---|---|
| Speciality | Family Medicine |
| Location | 4273 Montgomery Blvd Ne Ste 110, Albuquerque, New Mexico |
| Authorized Official Name and Position | Denise Irwin-podlesny (FOUNDER) |
| Authorized Official Contact | 5055121880 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Twilight Physician Group 4273 Montgomery Blvd Ne Ste 110 Albuquerque NM 87109-6746 Ph: (505) 512-1880 | Twilight Physician Group 4273 Montgomery Blvd Ne Ste 110 Albuquerque NM 87109-6746 Ph: (505) 512-1880 |
| NPI Number | 1194422832 |
|---|---|
| Provider Enumeration Date | 02/13/2023 |
| Last Update Date | 01/29/2024 |
| Medicare PECOS PAC ID | 1456718279 |
|---|---|
| Medicare Enrollment ID | O20230608002769 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194422832 | NPI | - | NPPES |
| Provider Name | Leandro Xavier Centenera |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1194760678 PECOS PAC ID: 3375519440 Enrollment ID: I20040909000571 |
| Provider Name | Janaska Marie Bigley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831761774 PECOS PAC ID: 0547667685 Enrollment ID: I20210916001297 |
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