| Dr Juan Carlos Mena, MD | |
|
4411 The 25 Way Ne, Suite 150, Albuquerque, NM 87109-5857 | |
| (505) 332-6900 | |
| (505) 332-6921 |
| Full Name | Dr Juan Carlos Mena |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 33 Years |
| Location | 4411 The 25 Way Ne, Albuquerque, New Mexico |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184696387 | NPI | - | NPPES |
| 600521002 | Other | NM | MEDICARE IDTF |
| 800521226 | Other | NM | MEDICARE IDTF |
| 2258272 | Other | NM | MEDICARE GROUP |
| 700521102 | Other | NM | MEDICARE GROUP |
| 45138 | Medicaid | NM | |
| 52713 | Medicaid | NM | |
| 68071019 | Medicaid | NM | |
| 1492060 | Medicaid | LA | |
| L0634 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 20050716 (New Mexico) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Memorial Medical Center | Las cruces, NM | Hospital |
| Carlsbad Medical Center | Carlsbad, NM | Hospital |
| Paris Regional Medical Center | Paris, TX | Hospital |
| Duncan Regional Hospital, Inc | Duncan, OK | Hospital |
| Dallas Regional Medical Center | Mesquite, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Eagle Partners Pllc | 9032205752 | 172 |
| Singleton Associates Pa | 6305731118 | 773 |
| Lakeland Regional Health Systems Inc | 8325952914 | 500 |
| Radiology Specialists Ltd Marasso-miller | 0143110874 | 127 |
| Imaging Associates Of New Mexico Llc | 4981970233 | 156 |
| Entity Name | Eagle Partners Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548450976 PECOS PAC ID: 9032205752 Enrollment ID: O20140408001277 |
| Entity Name | Silicon Valley Diagnostic Imaging Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629265806 PECOS PAC ID: 5496838518 Enrollment ID: O20170109000992 |
| Entity Name | Radiology Alliance Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861478489 PECOS PAC ID: 1850280470 Enrollment ID: O20180302000956 |
| Entity Name | Sierra Vista Hospital 69 |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760446009 PECOS PAC ID: 0143122416 Enrollment ID: O20180507000241 |
| Entity Name | Singleton Associates Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538107875 PECOS PAC ID: 6305731118 Enrollment ID: O20180615001882 |
| Entity Name | Imaging Associates Of New Mexico Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629592464 PECOS PAC ID: 4981970233 Enrollment ID: O20180622000888 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Juan Carlos Mena, MD 4411 The 25 Way Ne, Suite 150, Albuquerque, NM 87109-5857 Ph: (505) 332-6900 | Dr Juan Carlos Mena, MD 4411 The 25 Way Ne, Suite 150, Albuquerque, NM 87109-5857 Ph: (505) 332-6900 |
Mark Ehrhart, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: Msc 10 5550, 1 University Of New Mexico, Albuquerque, NM 87131 Phone: 505-272-4661 | |
Dr. Jose Bernardo Rebeil-de La Rosa, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 8020 Constitution Pl Ne Ste 202, Albuquerque, NM 87110 Phone: 505-998-3096 Fax: 505-998-3100 | |
Dr. Karen Renee Craig, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2211 Lomas Blvd Ne, Albuquerque, NM 87106 Phone: 505-272-0011 | |
Stuart Bernard Paster, Radiology Medicare: Not Enrolled in Medicare Practice Location: 8020 Constitution Place Ne, #101, Albuquerque, NM 87110 Phone: 505-998-1317 Fax: 505-998-1308 | |
Dr. Luis Centenera, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 4411 The 25 Way Ne, Suite 150, Albuquerque, NM 87109 Phone: 505-332-5800 Fax: 505-332-6919 | |
Ryan Craig Lebaron, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: Msc10 5530, 1 University Of New Mexico, Albuquerque, NM 87131 Phone: 505-272-6225 | |
Glenn S. Roush, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 4411 The 25 Way Ne, Albuquerque, NM 87109 Phone: 505-332-6921 Fax: 256-382-6455 |