| Catherine Teresa Fresquez, MD | |
| 
					145 Don Pasqual Rd Nw, Los Lunas, NM 87031-8841  | |
| (505) 865-4618 | |
| Not Available | 
| Full Name | Catherine Teresa Fresquez | 
|---|---|
| Gender | Female | 
| Speciality | Pediatrics | 
| Location | 145 Don Pasqual Rd Nw, Los Lunas, 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 | 
|---|---|---|---|
| 1073613915 | NPI | - | NPPES | 
| 45254737 | Medicaid | NM | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 208000000X | Pediatrics | 2001193 (New Mexico) | Primary | 
| 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 | First Choice Community Healthcare, Inc. | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1902993132 PECOS PAC ID: 7315854049 Enrollment ID: O20040121001003  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Catherine Teresa Fresquez, MD 145 Don Pasqual Rd Nw, Los Lunas, NM 87031-8841 Ph: (505) 865-4618  | Catherine Teresa Fresquez, MD 145 Don Pasqual Rd Nw, Los Lunas, NM 87031-8841 Ph: (505) 865-4618  | 
Heather L Ouellette, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 145 Don Pasqual Nw, Los Lunas, NM 87031 Phone: 505-865-4618 Fax: 505-224-8727  | |
Dr. Rebecca L Webb, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 428 Los Lentes Rd Se Ste 3, Los Lunas, NM 87031 Phone: 505-865-3350  |