| Dr Tania D Pence, DO | |
|
105 Mills Ave Ste 200, Las Vegas, NM 87701-4169 | |
| (505) 426-3795 | |
| (505) 425-2653 |
| Full Name | Dr Tania D Pence |
|---|---|
| Gender | Female |
| Speciality | Orthopedic Surgery |
| Experience | 25 Years |
| Location | 105 Mills Ave Ste 200, Las Vegas, New Mexico |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649294125 | NPI | - | NPPES |
| 1649294125 | Other | NM | BCBS |
| 1649294125 | Other | NM | CIGNA |
| 1649294125 | Other | NM | LOVELACE |
| 202034211 | Other | NM | PRESBYTRIAN HEALTH PLAN |
| A-1373-06 | Other | NM | NM LICENSE |
| NM301797 | Other | NM | MEDICARE PTAN |
| 04009221 | Medicaid | CO | |
| 64622835 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | DR0056511 (Colorado) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Lovelace Westside Hospital | Albuquerque, NM | Hospital |
| Lovelace Women's Hospital | Albuquerque, NM | Hospital |
| Lovelace Medical Center | Albuquerque, NM | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Southwest Medical Associates, Llc | 7214831114 | 298 |
| Entity Name | Presbyterian Healthcare Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104802354 PECOS PAC ID: 9234041708 Enrollment ID: O20031103000603 |
| Entity Name | Roswell Clinic Corp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649267618 PECOS PAC ID: 9436062759 Enrollment ID: O20031111000799 |
| Entity Name | Southwest Medical Associates, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164491072 PECOS PAC ID: 7214831114 Enrollment ID: O20031121000724 |
| 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 Tania D Pence, DO 105 Mills Ave Ste 200, Las Vegas, NM 87701-4169 Ph: (505) 426-3795 | Dr Tania D Pence, DO 105 Mills Ave Ste 200, Las Vegas, NM 87701-4169 Ph: (505) 426-3795 |
Dr. Mital Sumankumar Patel, M.D. (ORTHOPAEDICS) 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 |