| Dr Marlina Sara Ponce De Leon, DO | |
|
2450 S Telshor Blvd, Las Cruces, NM 88011-5069 | |
| (575) 556-7600 | |
| Not Available |
| Full Name | Dr Marlina Sara Ponce De Leon |
|---|---|
| Gender | Female |
| Speciality | Emergency Medicine |
| Location | 2450 S Telshor Blvd, Las Cruces, New Mexico |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467077701 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | DO2023-0063 (New Mexico) | Secondary |
| 207P00000X | Emergency Medicine | DO2023-0063 (New Mexico) | Primary |
| Entity Name | Southwest Emergency Medical Associates Of Nm Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720505571 PECOS PAC ID: 8426324294 Enrollment ID: O20171023001270 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Marlina Sara Ponce De Leon, DO 2450 S Telshor Blvd, Las Cruces, NM 88011-5069 Ph: (575) 521-5385 | Dr Marlina Sara Ponce De Leon, DO 2450 S Telshor Blvd, Las Cruces, NM 88011-5069 Ph: (575) 556-7600 |
Dr. Todd Leroy Lucas, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2450 S Telshor Blvd, Las Cruces, NM 88011 Phone: 706-354-5770 Fax: 706-354-5769 | |
William J Bussey, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 4311 E Lohman Ave, Las Cruces, NM 88011 Phone: 505-532-8800 Fax: 505-532-5920 | |
Dr. Andrew Mark Wilke, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1930 Myrtle Ave, Las Cruces, NM 88001 Phone: 505-680-8226 | |
Thomas G Lemke, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 4311 E Lohman Ave, Las Cruces, NM 88011 Phone: 505-532-8800 Fax: 505-532-5920 | |
Marcey A. Gillespie, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 2450 S Telshor Blvd, Las Cruces, NM 88011 Phone: 706-354-5770 Fax: 706-354-5769 | |
Kristy R. Ontiveros, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2450 S Telshor Blvd, Las Cruces, NM 88011 Phone: 706-354-5770 Fax: 706-354-5769 | |
Douglas Arlyn Kinkel, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2450 S Telshor Blvd, Las Cruces, NM 88011 Phone: 706-354-5770 |