| Dr Joan E Kandel, DO | |
|
90 Medicine Way, Dulce, NM 87528 | |
| (505) 360-5995 | |
| Not Available |
| Full Name | Dr Joan E Kandel |
|---|---|
| Gender | Female |
| Speciality | Family Medicine |
| Location | 90 Medicine Way, Dulce, 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 |
|---|---|---|---|
| 1235172842 | NPI | - | NPPES |
| 764846 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | A-2282-19 (New Mexico) | Primary |
| 207Q00000X | Family Medicine | 3986 (Arizona) | Secondary |
| Entity Name | Dulce Health Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750388963 PECOS PAC ID: 7012991839 Enrollment ID: O20040617000747 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Joan E Kandel, DO Po Box 649, Dulce, NM 87528-0649 Ph: (505) 360-5995 | Dr Joan E Kandel, DO 90 Medicine Way, Dulce, NM 87528 Ph: (505) 360-5995 |
Sirpa T. Autio, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 500 N Mundo, Dulce, NM 87528 Phone: 575-759-3291 Fax: 575-759-3532 | |
Ms. Jennifer Lea Lea Claycomb, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 500 North Mundo, Dulce, NM 87528 Phone: 505-759-3291 Fax: 505-759-3532 | |
Steven John Petrakis, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 500 North Mundo, Dulce, NM 87528 Phone: 575-759-3291 Fax: 575-759-7294 | |
Dr. Bichson Pham, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 500 North Mundo, Dulce, NM 87528 Phone: 575-759-3291 | |
Steven Paul Gross, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 12000 Stone Lake Road, Dulce, NM 87528 Phone: 575-759-7232 Fax: 575-759-7294 | |
Dr. Raquel Irene Cisneros, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 500 N. Mundo Dr., Dulce, NM 87528 Phone: 575-759-3291 Fax: 575-759-7294 |