| Carletta Thompson, MD | |
|
407 S Schwartz Ave Ste 101, Farmington, NM 87401-5925 | |
| (505) 609-6595 | |
| (505) 599-4633 |
| Full Name | Carletta Thompson |
|---|---|
| Gender | Female |
| Speciality | Physical Medicine And Rehabilitation |
| Experience | 32 Years |
| Location | 407 S Schwartz Ave Ste 101, Farmington, 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 |
|---|---|---|---|
| 1770509044 | NPI | - | NPPES |
| 10309713 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208100000X | Physical Medicine & Rehabilitation | 2003-0603 (New Mexico) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| San Juan Regional Medical Center | Farmington, NM | Hospital |
| Southwest Memorial Hospital | Cortez, CO | Hospital |
| Mercy Regional Medical Center | Durango, CO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| San Juan Regional Medical Center, Inc. | 4587559505 | 183 |
| San Juan Regional Medical Center, Inc. | 4587559505 | 183 |
| Entity Name | San Juan Regional Medical Center, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639662901 PECOS PAC ID: 4587559505 Enrollment ID: O20040218000865 |
| Mailing Address | Practice Location Address |
|---|---|
| Carletta Thompson, MD Po Box 844088, Dallas, TX 75284-4088 Ph: (505) 609-2258 | Carletta Thompson, MD 407 S Schwartz Ave Ste 101, Farmington, NM 87401-5925 Ph: (505) 609-6595 |
Raymund Lucero, PT Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 1101 W Murray Dr, Farmington, NM 87401 Phone: 505-326-1600 | |
Jeffrey S Grant, M.D. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 608 E Comanche St, Farmington, NM 87401 Phone: 505-325-0072 Fax: 505-327-1739 | |
Dr. Camille Rivera, M.D. Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 2500 Farmington Ave, Farmington, NM 87401 Phone: 505-326-7246 Fax: 505-592-0063 |