| Dr Cleora Shunkamolah, MD | |
|
516 E Nizhoni Blvd, Gallup, NM 87301-5748 | |
| (505) 722-1000 | |
| Not Available |
| Full Name | Dr Cleora Shunkamolah |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 38 Years |
| Location | 516 E Nizhoni Blvd, Gallup, New Mexico |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073581583 | NPI | - | NPPES |
| 419475 | Medicaid | AZ | |
| R7335 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | 89-303 (New Mexico) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Gallup Indian Medical Center | Gallup, NM | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Dhhs,phs,naihs Gallup Indian Medical Center | 3173436409 | 134 |
| Entity Name | Dhhs,phs,naihs Gallup Indian Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225002322 PECOS PAC ID: 3173436409 Enrollment ID: O20031111000840 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Cleora Shunkamolah, MD Po Box 1337, Gallup, NM 87305-1337 Ph: (505) 722-1000 | Dr Cleora Shunkamolah, MD 516 E Nizhoni Blvd, Gallup, NM 87301-5748 Ph: (505) 722-1000 |
Dr. Paula Renee Mora, M.D. General Practice Medicare: Medicare Enrolled Practice Location: 516 E Nizhoni Blvd, Gallup, NM 87301 Phone: 505-722-1482 Fax: 505-722-1629 | |
Dr. Catherine Marie Radovich, M.D. General Practice Medicare: Not Enrolled in Medicare Practice Location: 516 Nizhoni Blvd, Gallup Indian Medical Center, Gallup, NM 87301 Phone: 505-722-1000 | |
Dr. Michael Eric Ivory, DO General Practice Medicare: Not Enrolled in Medicare Practice Location: 516 E. Nizhoni Blvd., Gallup, NM 87301 Phone: 505-722-1000 Fax: 505-726-8740 | |
Dr. Jeffrey Joseph Hawker, M.D. General Practice Medicare: Accepting Medicare Assignments Practice Location: 516 E Nizhoni Blvd, Gallup, NM 87301 Phone: 505-722-1000 Fax: 540-224-1933 |