| Dr Martin Jon Kileen, MD,MPH | |
|
Santa Ana Clinic, O2-c Dove Rd, Bernalillo, NM 87004 | |
| (505) 867-2497 | |
| (505) 867-1526 |
| Full Name | Dr Martin Jon Kileen |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | Santa Ana Clinic, Bernalillo, 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 |
|---|---|---|---|
| 1770789125 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MD2014-0014 (New Mexico) | Secondary |
| 207Q00000X | Family Medicine | 6242 (Montana) | Primary |
| Entity Name | Santa Ana Health Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649331323 PECOS PAC ID: 4880590298 Enrollment ID: O20031208000817 |
| Entity Name | Albuquerque Indian Health Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659458917 PECOS PAC ID: 7719883164 Enrollment ID: O20031208001026 |
| Entity Name | Zia Health Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831250398 PECOS PAC ID: 4789652488 Enrollment ID: O20040921000441 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Martin Jon Kileen, MD,MPH 1 Sagebrush St., Isleta Health Center, Isleta, NM 87022 Ph: (505) 869-4866 | Dr Martin Jon Kileen, MD,MPH Santa Ana Clinic, O2-c Dove Rd, Bernalillo, NM 87004 Ph: (505) 867-2497 |
Dr. Tamara Suzanne Hudson, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 121 Calle Del Presidente, Bernalillo, NM 87004 Phone: 505-867-2324 Fax: 505-771-3431 | |
Kathryn Mcclain, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2 Dove Rd, Bernalillo, NM 87004 Phone: 505-867-2497 | |
Rachel Davis Rankin, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 121 Calle Del Presidente, Bernalillo, NM 87004 Phone: 505-867-2324 Fax: 505-867-3511 | |
Dr. Cathleen Durell, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 203 Sandia Day School Road, Bernalillo, NM 87004 Phone: 505-867-4696 Fax: 505-867-4997 | |
Gayle Chacon, Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 481 Sandia Loop, Sandia Pueblo Clinic, Bernalillo, NM 87004 Phone: 505-867-4487 | |
Dr. Dianna Lynne Fury, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 203 Sandia Day School Road, Bernalillo, NM 87004 Phone: 505-867-4696 Fax: 505-867-4997 |