Dr Timothy E Herndon, MD | |
4351 E Lohman Ave, Suite 100, Las Cruces, NM 88011-8259 | |
(575) 532-9077 | |
(575) 532-9221 |
Full Name | Dr Timothy E Herndon |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 43 Years |
Location | 4351 E Lohman Ave, Las Cruces, 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 |
---|---|---|---|
1164400354 | NPI | - | NPPES |
23209259 | Medicaid | NM |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 82-210 (New Mexico) | Secondary |
208D00000X | General Practice | M-13463 (Idaho) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
West Carroll Memorial Hospital | Oak grove, LA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
West Carroll Health Systems, Llc | 5294627774 | 10 |
Entity Name | West Carroll Health Systems, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1386700888 PECOS PAC ID: 5294627774 Enrollment ID: O20040402000229 |
Entity Name | West Carroll Health Systems, Llc |
---|---|
Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1255455390 PECOS PAC ID: 5294627774 Enrollment ID: O20230605001961 |
Entity Name | West Carroll Health Systems, Llc |
---|---|
Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1306843826 PECOS PAC ID: 5294627774 Enrollment ID: O20230609000635 |
Mailing Address | Practice Location Address |
---|---|
Dr Timothy E Herndon, MD 2661 S Bear Claw Way, Meridian, ID 83642-4468 Ph: (575) 496-1642 | Dr Timothy E Herndon, MD 4351 E Lohman Ave, Suite 100, Las Cruces, NM 88011-8259 Ph: (575) 532-9077 |
Dr. Burton M Berkson, MD,PHD General Practice Medicare: May Accept Medicare Assignments Practice Location: 1155 Commerce Dr Ste C, Las Cruces, NM 88011 Phone: 505-524-3720 Fax: 505-524-3721 | |
Dr Justin Lanier Sanders, D.O. General Practice Medicare: Accepting Medicare Assignments Practice Location: 4311 E Lohman Ave, Las Cruces, NM 88011 Phone: 575-566-7600 | |
Kevin J Allen, MD General Practice Medicare: Not Enrolled in Medicare Practice Location: 2465 S Telshor Blvd, Las Cruces, NM 88011 Phone: 505-440-9939 | |
Dr. Ramon A Saavedra, M.D. General Practice Medicare: May Accept Medicare Assignments Practice Location: 2930 Hillrise Dr, Ste 1, Las Cruces, NM 88011 Phone: 575-522-4040 Fax: 575-647-8381 | |
Miss Anne Firey Turbett, MD General Practice Medicare: Not Enrolled in Medicare Practice Location: Corner Of Stewart And Breland, Las Cruces, NM 88003 Phone: 505-646-1512 Fax: 505-646-6428 | |
Dr. Manuel Pavia Tan, M.D. General Practice Medicare: Not Enrolled in Medicare Practice Location: 4351 E Lohman Ave, Ste 301, Las Cruces, NM 88011 Phone: 575-532-8900 Fax: 575-532-8910 | |
Dr. Benjamin G Diven, MD General Practice Medicare: Not Enrolled in Medicare Practice Location: Corner Of Stewart And Breland, Student Health Center, Box 30001 Msc 3529, Las Cruces, NM 88003 Phone: 505-646-8308 Fax: 505-646-6428 |