| Dr Antonio Thomas Brecevich, MD | |
|
1010 Spruce St 3rd Floor Area 4, General Surgery, Espanola, NM 87532-2724 | |
| (505) 367-0340 | |
| (505) 367-0346 |
| Full Name | Dr Antonio Thomas Brecevich |
|---|---|
| Gender | Male |
| Speciality | General Surgery |
| Experience | 8 Years |
| Location | 1010 Spruce St 3rd Floor Area 4, Espanola, 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 |
|---|---|---|---|
| 1881155604 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | MD2024-1093 (New Mexico) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Presbyterian Espanola Hospital | Espanola, NM | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Presbyterian Healthcare Services | 9234041708 | 1179 |
| 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 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Antonio Thomas Brecevich, MD Po Box 26666, Presbyterian Healthcare Service, Albuquerque, NM 87125-6666 Ph: (832) 325-7125 | Dr Antonio Thomas Brecevich, MD 1010 Spruce St 3rd Floor Area 4, General Surgery, Espanola, NM 87532-2724 Ph: (505) 367-0340 |
Mr. Blair Kent Hough, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1010 Spruce St, Pmg Espanola, Espanola, NM 87532 Phone: 505-367-0362 | |
Marshall C Jordan, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: Espanola Multi-specialty Clinic, 1010 Spruce St, Espanola, NM 87532 Phone: 505-367-0340 Fax: 505-367-0346 |