| Wendy Gallegos, M.a. Llc | |
|
420 Ashley Ln, Corrales, NM 87048-8940 | |
| (505) 898-2474 | |
| (505) 899-8172 |
| Full Name | Wendy Gallegos, M.a. Llc |
|---|---|
| Type | Facility |
| Speciality | Audiologist |
| Location | 420 Ashley Ln, Corrales, 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 |
|---|---|---|---|
| 1841567310 | NPI | - | NPPES |
| K2186 | Medicaid | NM | |
| 231H00000X | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 231H00000X | Audiologist | 562 (New Mexico) | Primary |
| Provider Name | Wendy Joan Gallegos |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1649379033 PECOS PAC ID: 6002083045 Enrollment ID: I20120117000060 |
| Provider Name | Tracey Ann Gallegos |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1033342597 PECOS PAC ID: 6901274190 Enrollment ID: I20221118001685 |
| Provider Name | Susan Cheryl Allshouse |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1619426459 PECOS PAC ID: 4486022365 Enrollment ID: I20221128000380 |
| Mailing Address | Practice Location Address |
|---|---|
| Wendy Gallegos, M.a. Llc 420 Ashley Ln, Corrales, NM 87048-8940 Ph: (505) 898-2474 | Wendy Gallegos, M.a. Llc 420 Ashley Ln, Corrales, NM 87048-8940 Ph: (505) 898-2474 |
Wendy Joan Gallegos, M.A. CCC-A Audiologist Medicare: Accepting Medicare Assignments Practice Location: 3949 Corrales Rd, Ste 210, Corrales, NM 87048 Phone: 505-898-2474 Fax: 505-899-8172 |