| Dr Leticia Moedano, MD | |
|
2025 Galisteo St, Santa Fe, NM 87505-2101 | |
| (602) 655-6300 | |
| Not Available |
| Full Name | Dr Leticia Moedano |
|---|---|
| Gender | Female |
| Speciality | Family Medicine |
| Location | 2025 Galisteo St, Santa Fe, 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 |
|---|---|---|---|
| 1831688647 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 63273 (Arizona) | Secondary |
| 207Q00000X | Family Medicine | MD2022-1484 (New Mexico) | Primary |
| Entity Name | District Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336472448 PECOS PAC ID: 7315086691 Enrollment ID: O20091125000583 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Leticia Moedano, MD 2177 S 29th Ave, Yuma, AZ 85364-6042 Ph: (928) 580-9811 | Dr Leticia Moedano, MD 2025 Galisteo St, Santa Fe, NM 87505-2101 Ph: (602) 655-6300 |
Dr. Jennifer Louise Babcock Pierce, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 901 W Alameda St Ste 25, Santa Fe, NM 87501 Phone: 505-988-8869 Fax: 505-982-7321 | |
Dr. Tiffany A Robak, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 505 Camino De Los Marquez, Santa Fe, NM 87505 Phone: 505-405-8423 Fax: 505-485-0641 | |
Kurt D Kastendieck, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 421 Saint Michaels Dr, Santa Fe, NM 87505 Phone: 505-992-3334 Fax: 505-992-1998 | |
Yanet Cora Kopnina, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 4200 Beckner Rd, Santa Fe, NM 87507 Phone: 505-477-2200 | |
Dr. Fen Sartorius, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4001 Rodeo Rd, Santa Fe, NM 87507 Phone: 505-471-8994 Fax: 505-473-1274 | |
Tenzin Yangchen, Family Medicine Medicare: Medicare Enrolled Practice Location: 454 Saint Michaels Dr Ste 200, Santa Fe, NM 87505 Phone: 505-303-5000 | |
Luis Rigales Iii, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 435 Saint Michaels Dr, Suite B-104, Santa Fe, NM 87505 Phone: 505-913-3450 Fax: 505-913-3451 |