| Corey D Clay, MD, PHD | |
|
1651 Galisteo St Ste 8, Santa Fe, NM 87505-4752 | |
| (505) 820-9870 | |
| (505) 983-1265 |
| Full Name | Corey D Clay |
|---|---|
| Gender | Male |
| Speciality | Allergy/immunology |
| Experience | 15 Years |
| Location | 1651 Galisteo St Ste 8, Santa Fe, 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 |
|---|---|---|---|
| 1417247727 | NPI | - | NPPES |
| 76683877 | Medicaid | NM | |
| 875307 | Other | NM | MEDICARE PTAN |
| 825732 | Other | NM | MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207K00000X | Allergy & Immunology | MD2019-0525 (New Mexico) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Christus St Vincent Regional Medical Center | Santa fe, NM | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Allergy Partners Pllc | 7113822420 | 139 |
| Entity Name | Allergy Partners Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225028541 PECOS PAC ID: 7113822420 Enrollment ID: O20050411000027 |
| Entity Name | Allergy Partners Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982816591 PECOS PAC ID: 7113822420 Enrollment ID: O20071109000114 |
| Mailing Address | Practice Location Address |
|---|---|
| Corey D Clay, MD, PHD Po Box 603725, Charlotte, NC 28260-3725 Ph: (828) 575-2625 | Corey D Clay, MD, PHD 1651 Galisteo St Ste 8, Santa Fe, NM 87505-4752 Ph: (505) 820-9870 |
Dr. Welman Austin Shrader Jr., M.D. Allergy & Immunology Medicare: Not Enrolled in Medicare Practice Location: 141 Paseo De Peralta, Santa Fe, NM 87501 Phone: 505-983-8890 | |
Dr. Charles Mittnacht Smith, M.D. Allergy & Immunology Medicare: Not Enrolled in Medicare Practice Location: 1101 Padre Kino, Santa Fe, NM 87501 Phone: 505-992-1101 Fax: 505-992-1101 | |
James Herbert Sussman, D. O. Allergy & Immunology Medicare: Not Enrolled in Medicare Practice Location: 1651 Galisteo St, Suite 8, Santa Fe, NM 87505 Phone: 505-820-9870 Fax: 505-983-1265 | |
Dr. Janna Marie Tuck, M. D. Allergy & Immunology Medicare: Not Enrolled in Medicare Practice Location: 1651 Galisteo St Ste 8, Santa Fe, NM 87505 Phone: 505-820-9870 Fax: 505-983-1265 |