| Amelia Brooks Kreienkamp, MD | |
|
1010 Spruce St, Espanola, NM 87532-2724 | |
| (505) 753-7111 | |
| Not Available |
| Full Name | Amelia Brooks Kreienkamp |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 1010 Spruce St, Espanola, 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 |
|---|---|---|---|
| 1972023810 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | MD2020-0740 (New Mexico) | Primary |
| 208000000X | Pediatrics | 2017020363 (Missouri) | Secondary |
| 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 | St Vincent Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578587150 PECOS PAC ID: 6608775135 Enrollment ID: O20040105000372 |
| Mailing Address | Practice Location Address |
|---|---|
| Amelia Brooks Kreienkamp, MD Po Box 26666, Provider Enrollment, Albuquerque, NM 87125-6666 Ph: (505) 923-6770 | Amelia Brooks Kreienkamp, MD 1010 Spruce St, Espanola, NM 87532-2724 Ph: (505) 753-7111 |
Dr. Margaret Fox, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1000 N Paseo De Onate, Espanola, NM 87532 Phone: 505-231-0652 | |
Rebecca Jane Wallig, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 1010 Spruce St, Espanola, NM 87532 Phone: 505-367-0340 | |
Chelsea D Kirby, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1010 Spruce St, Espanola Multispecialty Clinic, Espanola, NM 87532 Phone: 505-753-8031 Fax: 505-753-7433 | |
David Michael King, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 1010 Spruce St, Espanola, NM 87532 Phone: 505-367-0346 |