Moira Louise Ellis, | |
6400 Uptown Blvd Ne, Suite 360 West, Albuquerque, NM 87110-4204 | |
(505) 855-9805 | |
(505) 848-9468 |
Full Name | Moira Louise Ellis |
---|---|
Gender | Female |
Speciality | Qualified Speech Language Pathologist |
Experience | 10 Years |
Location | 6400 Uptown Blvd Ne, Albuquerque, New Mexico |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1689060279 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
235Z00000X | Speech-language Pathologist | C-5721 (New Mexico) | Secondary |
235Z00000X | Speech-language Pathologist | SLP5922 (New Mexico) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
University Of New Mexico Medical Group | 4981795267 | 977 |
Provider Name | Unm Medical Group Inc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1831218627 PECOS PAC ID: 4981795267 Enrollment ID: O20070801000589 |
Mailing Address | Practice Location Address |
---|---|
Moira Louise Ellis, 6400 Uptown Blvd Ne, Suite 360 West, Albuquerque, NM 87110-4204 Ph: (505) 855-9805 | Moira Louise Ellis, 6400 Uptown Blvd Ne, Suite 360 West, Albuquerque, NM 87110-4204 Ph: (505) 855-9805 |
Elizabeth Y Kam, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 7801 Candelaria Rd Ne, Sandia Hs, Albuquerque, NM 87110 Phone: 505-294-1511 | |
Ms. Brittney Amber Martinez, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 10800 Comanche Rd Ne Apt 329, Albuquerque, NM 87111 Phone: 505-927-8291 Fax: 505-266-6306 | |
Breanna White, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 9500 Montgomery Blvd Ne Ste 215, Albuquerque, NM 87111 Phone: 505-247-4224 | |
Tyler Brewer, MS CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 6811 Taylor Ranch Rd Nw, Albuquerque, NM 87120 Phone: 505-898-1492 | |
Leslie Guzman, SLP-CF Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 6400 Uptown Blvd Ne, Suite 360w, Albuquerque, NM 87110 Phone: 505-855-9805 Fax: 505-848-9468 | |
Samantha Vance, SLP-CF Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 6400 Uptown Blvd Ne Ste 360, Albuquerque, NM 87110 Phone: 505-299-9010 | |
Marsha Grover, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 412 Alameda Blvd Nw, Alameda Es, Albuquerque, NM 87114 Phone: 505-898-0070 |