| Dr Heather Ellen Marancenbaum, MD | |
|
211 Sudderth Dr, Ruidoso, NM 88345-6002 | |
| (575) 257-8200 | |
| Not Available |
| Full Name | Dr Heather Ellen Marancenbaum |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 24 Years |
| Location | 211 Sudderth Dr, Ruidoso, 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 |
|---|---|---|---|
| 1528073384 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 24957 (Oklahoma) | Secondary |
| 207P00000X | Emergency Medicine | MD2015-0170 (New Mexico) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Memorial Medical Center | Las cruces, NM | Hospital |
| Lincoln County Medical Center | Ruidoso, NM | Hospital |
| Los Alamos Medical Center | Los alamos, NM | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Southwest Emergency Medical Associates Of Nm Pc | 8426324294 | 34 |
| 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 |
| Entity Name | Los Alamos Emergency Medical Associates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679965883 PECOS PAC ID: 1557680105 Enrollment ID: O20150501001381 |
| Entity Name | Southwest Emergency Medical Associates Of Nm Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720505571 PECOS PAC ID: 8426324294 Enrollment ID: O20171023001270 |
| Entity Name | Nes Arizona Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285163121 PECOS PAC ID: 2163737206 Enrollment ID: O20230803001059 |
| 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 Heather Ellen Marancenbaum, MD Po Box 26666, Provider Enrollment, Albuquerque, NM 87125-6666 Ph: (505) 923-6770 | Dr Heather Ellen Marancenbaum, MD 211 Sudderth Dr, Ruidoso, NM 88345-6002 Ph: (575) 257-8200 |
Patrick J Connor, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 211 Sudderth, Lincoln County Medical Center, Ruidoso, NM 88345 Phone: 505-257-8200 Fax: 505-630-4233 | |
Bradford Lee Cambron, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 211 Sudderth Dr, Ruidoso, NM 88345 Phone: 575-257-8200 | |
Mark E King, PA Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1401 Sudderth Dr, Ruidoso, NM 88345 Phone: 575-257-7712 Fax: 575-257-4513 |