| Dr Andrew Paul Fulkerson, CRNA | |
|
4311 E Lohman Ave, Las Cruces, NM 88011-8255 | |
| (575) 556-7600 | |
| Not Available |
| Full Name | Dr Andrew Paul Fulkerson |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 5 Years |
| Location | 4311 E Lohman Ave, Las Cruces, 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 |
|---|---|---|---|
| 1659983898 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | 128379 (New Mexico) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Memorial Medical Center | Las cruces, NM | Hospital |
| Mountain View Regional Medical Center | Las cruces, NM | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Main Street Anesthesia Of New Mexico, Llc | 3476807538 | 167 |
| Las Cruces Hb Medical Services Llc | 8123473600 | 123 |
| Entity Name | Main Street Anesthesia Of New Mexico, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275010985 PECOS PAC ID: 3476807538 Enrollment ID: O20181108002622 |
| Entity Name | Las Cruces Hb Medical Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598446171 PECOS PAC ID: 8123473600 Enrollment ID: O20231018003832 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Andrew Paul Fulkerson, CRNA 3502 Hermosillo Ct, Las Cruces, NM 88005-1197 Ph: () - | Dr Andrew Paul Fulkerson, CRNA 4311 E Lohman Ave, Las Cruces, NM 88011-8255 Ph: (575) 556-7600 |
David P. Leachman, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 4311 E Lohman Ave, Las Cruces, NM 88011 Phone: 575-556-7615 Fax: 575-556-7619 | |
Jeffrey J Joyce, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 205 W Boutz Rd Bldg 1, Las Cruces, NM 88005 Phone: 575-532-7000 Fax: 575-532-7025 | |
Philip Owen, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 205 W. Boutz Rd. Bldg #1, Las Cruces, NM 88005 Phone: 575-532-7000 Fax: 575-556-7131 | |
Dr. Llewelyn Anthony Williams, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2170 E Lohman Ave, Suite C, Las Cruces, NM 88001 Phone: 575-449-7002 Fax: 575-652-4684 | |
Dr. Nosrat Khajavi, D.O. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 205 W Boutz Rd Bldg 1, Las Cruces, NM 88005 Phone: 575-532-7033 Fax: 575-532-7025 | |
Vernon P. Goldsworthy, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 205 W Boutz Rd, Bldg #1, Las Cruces, NM 88005 Phone: 575-532-7000 | |
Alfredo Schavz, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 205 W. Boutz Rd. Bldg #1, Las Cruces, NM 88005 Phone: 575-532-7000 Fax: 575-532-7006 |