Dr David Allan Quackenbush, DO is a medicare enrolled "Pediatrics - Adolescent Medicine" physician in Kirtland Afb, New Mexico. His current practice location is
2050a 2nd St Se, Kirtland Afb, New Mexico. You can reach out to his office (for appointments etc.) via phone at
(505) 846-3200.
Dr David Allan Quackenbush is licensed to practice in Virginia (license number 0102204210) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1598189060.
Physician's Profile
Full Name | Dr David Allan Quackenbush |
---|
Gender | Male |
---|
Speciality | Pediatrics - Adolescent Medicine |
---|
Location | 2050a 2nd St Se, Kirtland Afb, New Mexico |
---|
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1598189060
- Provider Enumeration Date: 02/04/2014
- Last Update Date: 08/18/2025
Medicare PECOS Information:
- PECOS PAC ID: 2264731686
- Enrollment ID: I20160505001323
Medical Identifiers
Medical identifiers for Dr David Allan Quackenbush such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1598189060 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208000000X | Pediatrics | 0102204210 (Virginia) | Secondary |
2080A0000X | Pediatrics - Adolescent Medicine | 0102204210 (Virginia) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr David Allan Quackenbush is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr David Allan Quackenbush, DO Po Box 56853, Albuquerque, NM 87187-6853 Ph: (682) 241-6707 | Dr David Allan Quackenbush, DO 2050a 2nd St Se, Kirtland Afb, NM 87117-2502 Ph: (505) 846-3200 |
Reviews and Comments