| Dr Jessica L Roberts, DO | |
|
203 Hospital Dr, Raton, NM 87740-2012 | |
| (575) 445-3661 | |
| Not Available |
| Full Name | Dr Jessica L Roberts |
|---|---|
| Gender | Female |
| Speciality | Obstetrics & Gynecology |
| Location | 203 Hospital Dr, Raton, New Mexico |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821078270 | NPI | - | NPPES |
| 75731827 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | A-1336-05 (New Mexico) | Primary |
| Entity Name | Miners' Colfax Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083931109 PECOS PAC ID: 5294647400 Enrollment ID: O20031105000106 |
| Entity Name | San Miguel Clinic Corp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114920717 PECOS PAC ID: 1254226079 Enrollment ID: O20040219000384 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jessica L Roberts, DO 203 Hospital Dr Ste 180, Raton, NM 87740-2012 Ph: (575) 445-3661 | Dr Jessica L Roberts, DO 203 Hospital Dr, Raton, NM 87740-2012 Ph: (575) 445-3661 |
Dr. Charles Leslie Secora, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 166 Hospital Dr, Raton, NM 87740 Phone: 505-445-4111 Fax: 505-445-2666 | |
Louisa Gayle Chavez, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 203 Hospital Dr, Raton, NM 87740 Phone: 575-445-3661 | |
Dr. Jameela Bai Tiku, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 130 S 3rd St, Raton, NM 87740 Phone: 575-445-5548 Fax: 575-445-5560 |