Dominic Tellez, PA - Medicare Physician Assistant in Las Cruces, NM

Dominic Tellez, PA is a medicare enrolled "Physician Assistant" in Las Cruces, New Mexico. His current practice location is 1600 Phtorpe Road, Las Cruces, New Mexico. You can reach out to his office (for appointments etc.) via phone at (575) 526-6200.

Dominic Tellez is licensed to practice in New Mexico (license number PA2009-0029) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1043544091.

Contact Information

Dominic Tellez, PA
1600 Phtorpe Road,
Las Cruces, NM 88012
(575) 526-6200
(575) 526-2266



Provider's Profile

Full NameDominic Tellez
GenderMale
SpecialityPhysician Assistant
Location1600 Phtorpe Road, Las Cruces, New Mexico
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1043544091
  • Provider Enumeration Date: 09/23/2009
  • Last Update Date: 09/23/2009
  Medicare PECOS Information:
  • PECOS PAC ID: 1254478043
  • Enrollment ID: I20091028000038

Medical Identifiers

Medical identifiers for Dominic Tellez such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1043544091NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant PA2009-0029 (New Mexico)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dominic Tellez is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dominic Tellez, PA
Po Box 370,
Hatch, NM 87937-0370

Ph: (575) 267-3280
Dominic Tellez, PA
1600 Phtorpe Road,
Las Cruces, NM 88012

Ph: (575) 526-6200

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Physician Assistant Nurses in Las Cruces, NM

Calandria Reno,
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 999 W Amador Ave Ste A, Las Cruces, NM 88005
Phone: 575-527-5482    Fax: 575-652-4243
Britteni Nicole Romero, PA
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 4351 E Lohman Ave Ste 310, Las Cruces, NM 88011
Phone: 575-532-9755    Fax: 575-532-8881
Marcia Ann Jamison, PA-C
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 2530 S Telshor Blvd, Suite 207, Las Cruces, NM 88011
Phone: 575-522-6806    Fax: 575-521-8033
Patrick A Dunphy, PA
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 4311 E Lohman Ave, Las Cruces, NM 88011
Phone: 505-556-6800    
Mr. Francisco Javier Rodriguez Jr., PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 4351 E Lohman Ave Ste 301, Las Cruces, NM 88011
Phone: 575-532-9755    Fax: 575-532-8881
Ms. Sofia Luisa Young, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 4311 E Lohman Ave, Las Cruces, NM 88011
Phone: 575-556-6800    

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