| Dr Crystal D Cardwell, MD | |
|
2220 Grande Blvd Se, Suite B, Rio Rancho, NM 87124 | |
| (505) 892-0402 | |
| (304) 938-0572 |
| Full Name | Dr Crystal D Cardwell |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 18 Years |
| Location | 2220 Grande Blvd Se, Rio Rancho, 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 |
|---|---|---|---|
| 1124281381 | NPI | - | NPPES |
| 85222364 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 12122 (North Dakota) | Secondary |
| 207Q00000X | Family Medicine | MD2012-0030 (New Mexico) | Primary |
| 208M00000X | Hospitalist | 65713 (Arizona) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Center For Vein Restoration Nm Llc | 0840625745 | 3 |
| Entity Name | Southwest Medical Associates, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164491072 PECOS PAC ID: 7214831114 Enrollment ID: O20031121000724 |
| Entity Name | Center For Vein Restoration Nm Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891342994 PECOS PAC ID: 0840625745 Enrollment ID: O20200123001331 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Crystal D Cardwell, MD 2220 Grande Blvd Se, Suite B, Rio Rancho, NM 87124 Ph: (505) 892-0402 | Dr Crystal D Cardwell, MD 2220 Grande Blvd Se, Suite B, Rio Rancho, NM 87124 Ph: (505) 892-0402 |
Jennifer Delgado Felipa, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4005 High Resort Blvd Se, Internal Medicine, Rio Rancho, NM 87124 Phone: 505-462-6000 | |
Lana K Wagner, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4100 High Resort Blvd Se, Pmg Rio Rancho High Resort 4100, Rio Rancho, NM 87124 Phone: 505-462-8520 Fax: 505-462-8510 | |
Dr. Santiago Marinez Ayala, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2300 Grande Blvd Se, Suite A, Rio Rancho, NM 87124 Phone: 505-896-7100 | |
Mrs. Christina Marie Hannah, PA Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 184 Unser Blvd Ne, Rio Rancho, NM 87124 Phone: 505-896-0928 | |
Paul Afek, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3001 Broadmoor Blvd Ne, Rio Rancho, NM 87144 Phone: 505-994-7397 | |
Ethan A Prairie, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4005 High Resort Blvd Se, Rio Rancho, NM 87124 Phone: 505-462-6000 |