Visavis Health Care Medical Group Of Nm Llc | |
103 Hospital Loop Ne Albuquerque NM 87109-2115 | |
(929) 491-7333 | |
Not Available |
Full Name | Visavis Health Care Medical Group Of Nm Llc |
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Speciality | Family Medicine |
Location | 103 Hospital Loop Ne, Albuquerque, New Mexico |
Authorized Official Name and Position | Rekha Bhandari (OWNER) |
Authorized Official Contact | 7185340689 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Visavis Health Care Medical Group Of Nm Llc 1481 Mcdonald Ave Fl 2 Brooklyn NY 11230-4667 Ph: () - | Visavis Health Care Medical Group Of Nm Llc 103 Hospital Loop Ne Albuquerque NM 87109-2115 Ph: (929) 491-7333 |
NPI Number | 1598459042 |
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Provider Enumeration Date | 06/07/2023 |
Last Update Date | 06/07/2023 |
Medicare PECOS PAC ID | 2163878497 |
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Medicare Enrollment ID | O20231024000131 |
Identifier | Type | State | Issuer |
---|---|---|---|
1598459042 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Jason Rotonda |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1023596491 PECOS PAC ID: 9830441567 Enrollment ID: I20181009000141 |
Provider Name | Kristina Nicole Smith |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1255713665 PECOS PAC ID: 0648583773 Enrollment ID: I20191101000124 |
Provider Name | Bettina Bellamy |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1891364774 PECOS PAC ID: 4587067764 Enrollment ID: I20220413001412 |
Provider Name | Jeriann Courtney Peter |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1639405434 PECOS PAC ID: 5193867513 Enrollment ID: I20230920000153 |
Provider Name | Heriberto Figueroa |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1093312480 PECOS PAC ID: 8123430253 Enrollment ID: I20231107002635 |
Provider Name | Jenna Michelle Koepke |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1851848352 PECOS PAC ID: 8426346826 Enrollment ID: I20231110001618 |
Provider Name | Rebecca Lurie |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1316402076 PECOS PAC ID: 6406285576 Enrollment ID: I20231112000113 |
Provider Name | Marie Perkowski |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1356686059 PECOS PAC ID: 9931340908 Enrollment ID: I20231112000115 |
Provider Name | Julia Didesiderio |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1548717192 PECOS PAC ID: 9537441993 Enrollment ID: I20231114002678 |
Provider Name | Mariama Hubbard |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1518946763 PECOS PAC ID: 8628033156 Enrollment ID: I20231122000013 |
Provider Name | Pramila Baral |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1295333144 PECOS PAC ID: 0840603767 Enrollment ID: I20231201000813 |
Provider Name | Bridgett Michelle Johnson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1629580519 PECOS PAC ID: 3375931702 Enrollment ID: I20231201001940 |
Provider Name | Bethel Ubochi |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1063831824 PECOS PAC ID: 6204288343 Enrollment ID: I20240115000256 |
Provider Name | Njideka Ikeakor |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1790111557 PECOS PAC ID: 5294950176 Enrollment ID: I20240212001883 |
Provider Name | Derek Anthony Harpole |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1235771874 PECOS PAC ID: 3779914965 Enrollment ID: I20240221001855 |
Provider Name | Deanna Desire |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1568180594 PECOS PAC ID: 6204203391 Enrollment ID: I20240229001427 |
Provider Name | Mercedes Jane Bryce |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1770294340 PECOS PAC ID: 1658743398 Enrollment ID: I20240329002579 |
Provider Name | Sharon Nchonko |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1861978389 PECOS PAC ID: 9638573066 Enrollment ID: I20240520003571 |
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