| Alexandra Michaela Bracken, DO | |
|
121 El Paso Rd, General Surgery - Ruidoso, Ruidoso, NM 88345-6033 | |
| (575) 630-8350 | |
| (575) 257-4055 |
| Full Name | Alexandra Michaela Bracken |
|---|---|
| Gender | Female |
| Speciality | General Surgery |
| Experience | 7 Years |
| Location | 121 El Paso Rd, Ruidoso, New Mexico |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801355508 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | DO2024-0072 (New Mexico) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Lincoln County Medical Center | Ruidoso, NM | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Presbyterian Healthcare Services | 9234041708 | 1390 |
| Entity Name | Presbyterian Healthcare Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104802354 PECOS PAC ID: 9234041708 Enrollment ID: O20031103000603 |
| Entity Name | Presbyterian Healthcare Services |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1558347708 PECOS PAC ID: 9234041708 Enrollment ID: O20090316000666 |
| Mailing Address | Practice Location Address |
|---|---|
| Alexandra Michaela Bracken, DO Po Box 26666, Phs Provider Enrollment, Albuquerque, NM 87125-6666 Ph: Not Available | Alexandra Michaela Bracken, DO 121 El Paso Rd, General Surgery - Ruidoso, Ruidoso, NM 88345-6033 Ph: (575) 630-8350 |
Ilhan Yildiz, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 121 El Paso Rd, Ruidoso, NM 88345 Phone: 575-630-8350 |
Peter L Driscoll, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 121 El Paso Rd, Lincoln County Medical Complex, Ruidoso, NM 88345 Phone: 575-630-8350 Fax: 575-630-5232 |