| Abbas Khan, | |
|
206 S Coronado Ave, Espanola, NM 87532-2792 | |
| (860) 788-6404 | |
| Not Available |
| Full Name | Abbas Khan |
|---|---|
| Gender | Male |
| Speciality | Mental Health Counselor |
| Experience | 7 Years |
| Location | 206 S Coronado Ave, Espanola, New Mexico |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497395396 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 19509 (California) | Secondary |
| 101YM0800X | Counselor - Mental Health | CMH0208951 (New Mexico) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Pacific Blue Psychological Services | 3678908357 | 9 |
| Entity Name | Pacific Blue Psychological Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124678719 PECOS PAC ID: 3678908357 Enrollment ID: O20200129000198 |
| Mailing Address | Practice Location Address |
|---|---|
| Abbas Khan, Po Box 1595, Middletown, CT 06457-8095 Ph: () - | Abbas Khan, 206 S Coronado Ave, Espanola, NM 87532-2792 Ph: (860) 788-6404 |
Cassie Garcia, BMS Counselor Medicare: Not Enrolled in Medicare Practice Location: 1305 Calle De La Merced, Espanola, NM 87532 Phone: 505-747-0081 | |
Simon M Johnson, BMS Counselor Medicare: Not Enrolled in Medicare Practice Location: 1302 Calle De La Merced, Suite H, Espanola, NM 87532 Phone: 505-747-0081 | |
Leann A Murray, BMS Counselor Medicare: Not Enrolled in Medicare Practice Location: 1302 Calle De La Merced, Suite H, Espanola, NM 87532 Phone: 505-747-0081 | |
Peter H Goodwin, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1114 Plaza Del Norte, Suite B, Espanola, NM 87532 Phone: 505-753-8933 Fax: 505-753-9811 | |
Ashley Lopez, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1302 Calle De La Merced, Espanola, NM 87532 Phone: 505-747-0081 | |
Sara E Williams, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1206 N Riverside Dr, Espanola, NM 87532 Phone: 505-747-7400 | |
Christopher Alcala, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1302 Calle De La Merced, Espanola, NM 87532 Phone: 505-747-0081 |