| Dr Ahmad H Othman, MD | |
|
233 Fairway Ter N Ste B, Clovis, NM 88101-3060 | |
| (575) 762-7779 | |
| (575) 762-3526 |
| Full Name | Dr Ahmad H Othman |
|---|---|
| Gender | Male |
| Speciality | General Surgery |
| Experience | 15 Years |
| Location | 233 Fairway Ter N Ste B, Clovis, 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 |
|---|---|---|---|
| 1255688271 | NPI | - | NPPES |
| 12875279 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | MD2018-0173 (New Mexico) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Roosevelt General Hospital | Portales, NM | Hospital |
| Plains Regional Medical Center | Clovis, NM | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Roosevelt County Special Hospital District | 4082526660 | 24 |
| 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 | Roosevelt County Special Hospital District |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073517058 PECOS PAC ID: 4082526660 Enrollment ID: O20040708000841 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Ahmad H Othman, MD 2508 Fairway Ter, Clovis, NM 88101-2734 Ph: (312) 813-6958 | Dr Ahmad H Othman, MD 233 Fairway Ter N Ste B, Clovis, NM 88101-3060 Ph: (575) 762-7779 |
Fred S Hammill, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: Plains Regional Medical Group, 2200 W 21st St, Clovis, NM 88101 Phone: 575-769-7577 Fax: 575-769-7595 | |
Dr. Raul Nelson Lugo, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 2421 W 21st St, Ste B, Clovis, NM 88101 Phone: 757-697-5775 Fax: 575-742-7856 | |
Albert M Kwan, MD Surgery Medicare: Medicare Enrolled Practice Location: 1820 W 21st St, Clovis, NM 88101 Phone: 575-762-2207 Fax: 575-762-7108 |