Dermatology Of New Mexico Llc - Medicare Primary Care in Albuquerque, NM

Dermatology Of New Mexico Llc is a medicare enrolled primary clinic (Clinic/center) in Albuquerque, New Mexico. The current practice location for Dermatology Of New Mexico Llc is 610 Broadway Blvd Ne, Albuquerque, New Mexico. For appointments, you can reach them via phone at (505) 225-2500. The mailing address for Dermatology Of New Mexico Llc is 610 Broadway Blvd Ne, Albuquerque, New Mexico and phone number is (505) 225-2500.

Dermatology Of New Mexico Llc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1104468438. 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 (505) 225-2500.

Contact Information

Dermatology Of New Mexico Llc
610 Broadway Blvd Ne
Albuquerque
NM 87102-2372
(505) 225-2500
(505) 225-2025

Primary Care Clinic Profile

Full NameDermatology Of New Mexico Llc
SpecialityClinic/Center
Location610 Broadway Blvd Ne, Albuquerque, New Mexico
Authorized Official Name and PositionSuraj2252500 Reddy (CEO / MD)
Authorized Official Contact5052252500
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dermatology Of New Mexico Llc
610 Broadway Blvd Ne
Albuquerque
NM 87102-2372

Ph: (505) 225-2500
Dermatology Of New Mexico Llc
610 Broadway Blvd Ne
Albuquerque
NM 87102-2372

Ph: (505) 225-2500

NPI Details:

NPI Number1104468438
Provider Enumeration Date10/08/2019
Last Update Date10/08/2019

Medicare PECOS Information:

Medicare PECOS PAC ID6608209606
Medicare Enrollment IDO20191205001106

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Medical Identifiers

Medical identifiers for Dermatology Of New Mexico Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1104468438NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261Q00000XClinic/center (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Dermatology Of New Mexico Llc acts as a billing entity for following providers:
Provider NameSuraj G Reddy
Provider TypePractitioner - Dermatology
Provider IdentifiersNPI Number: 1740485275
PECOS PAC ID: 3577623941
Enrollment ID: I20081117000084

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Provider NameShilpa G Reddy
Provider TypePractitioner - Dermatology
Provider IdentifiersNPI Number: 1639218639
PECOS PAC ID: 1850583485
Enrollment ID: I20101014000223

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