| Dr Mital Sumankumar Patel, MD (ORTHOPAEDICS) | |
|
105 Mills Ave Ste 200, Las Vegas, NM 87701-4169 | |
| (505) 426-3795 | |
| (505) 425-2653 |
| Full Name | Dr Mital Sumankumar Patel |
|---|---|
| Gender | Male |
| Speciality | Orthopedic Surgery |
| Experience | 19 Years |
| Location | 105 Mills Ave Ste 200, Las Vegas, New Mexico |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891033957 | NPI | - | NPPES |
| 1891033957 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | TR60434874 (Washington) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mimbres Memorial Hospital | Deming, NM | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Deming Clinic Corporation | 8325001548 | 5 |
| 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 |
| Entity Name | Deming Clinic Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205835808 PECOS PAC ID: 8325001548 Enrollment ID: O20041109000612 |
| Entity Name | Cibola General Hospital Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780677039 PECOS PAC ID: 7113935891 Enrollment ID: O20060323000127 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Mital Sumankumar Patel, MD (ORTHOPAEDICS) 105 Mills Ave Ste 200, Las Vegas, NM 87701-4169 Ph: (505) 426-3795 | Dr Mital Sumankumar Patel, MD (ORTHOPAEDICS) 105 Mills Ave Ste 200, Las Vegas, NM 87701-4169 Ph: (505) 426-3795 |
Dr. Tania D Pence, DO Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 105 Mills Ave Ste 200, Las Vegas, NM 87701 Phone: 505-426-3795 Fax: 505-425-2653 |