| The Hearing Group Of New Mexico, Llc | |
|
2060 Main St Ne Ste A, Los Lunas, NM 87031-6368 | |
| (505) 247-4466 | |
| (505) 247-4472 |
| Full Name | The Hearing Group Of New Mexico, Llc |
|---|---|
| Type | Facility |
| Speciality | Audiologist |
| Location | 2060 Main St Ne Ste A, Los Lunas, New Mexico |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245486257 | NPI | - | NPPES |
| 71530274 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 231H00000X | Audiologist | 3541 (New Mexico) | Primary |
| Provider Name | Diana M Vigil |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1730149493 PECOS PAC ID: 8820048283 Enrollment ID: I20050512001069 |
| Provider Name | Jose R Correa |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1427032978 PECOS PAC ID: 6103918347 Enrollment ID: I20070817000472 |
| Provider Name | David Russell Ward |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1336111418 PECOS PAC ID: 0840200549 Enrollment ID: I20220317000032 |
| Mailing Address | Practice Location Address |
|---|---|
| The Hearing Group Of New Mexico, Llc 2060 Main St Ne Ste A, Los Lunas, NM 87031-6368 Ph: (505) 247-4466 | The Hearing Group Of New Mexico, Llc 2060 Main St Ne Ste A, Los Lunas, NM 87031-6368 Ph: (505) 247-4466 |
Mr. Jose Roberto Correa, M.S. CCC-A Audiologist Medicare: Accepting Medicare Assignments Practice Location: 2060 Main St Ne Ste A, Los Lunas, NM 87031 Phone: 505-247-4466 | |
Mrs. Brenda Lanette Thomas, M.S., CCC-A Audiologist Medicare: Not Enrolled in Medicare Practice Location: 343 Main St Nw, Los Lunas, NM 87031 Phone: 505-866-2440 |