| Dr Jeanette Lara, DO | |
|
204 Angelina Blvd, Chaparral, NM 88081-7558 | |
| (758) 248-1005 | |
| (575) 824-8101 |
| Full Name | Dr Jeanette Lara |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 9 Years |
| Location | 204 Angelina Blvd, Chaparral, 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 |
|---|---|---|---|
| 1265961114 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | R-25-2017 (New Mexico) | Secondary |
| 207Q00000X | Family Medicine | A-2410-20 (New Mexico) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Gerald Champion Regional Medical Center | Alamogordo, NM | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Presbyterian Medical Services | 2062324684 | 125 |
| Otero County Hospital Association | 3173516606 | 178 |
| Entity Name | Presbyterian Medical Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871505032 PECOS PAC ID: 2062324684 Enrollment ID: O20031103000414 |
| Entity Name | Otero County Hospital Association |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861450579 PECOS PAC ID: 3173516606 Enrollment ID: O20070212000377 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jeanette Lara, DO 204 Angelina Blvd, Chaparral, NM 88081-7558 Ph: (758) 248-1005 | Dr Jeanette Lara, DO 204 Angelina Blvd, Chaparral, NM 88081-7558 Ph: (758) 248-1005 |
Gaston Alberto Berrios, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 510 E Lisa Dr, Chaparral, NM 88081 Phone: 575-824-0820 Fax: 575-824-1021 | |
Dr. Kyong Yol Ko, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 545 S. County Line Dr., Space A, Chaparral, NM 88081 Phone: 505-824-5007 Fax: 505-824-0322 |