| Emilio T Rivera, MD | |
|
5290 Mcnutt Rd, Ste 109, Santa Teresa, NM 88008 | |
| (575) 589-1144 | |
| (575) 589-2008 |
| Full Name | Emilio T Rivera |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 38 Years |
| Location | 5290 Mcnutt Rd, Santa Teresa, 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 |
|---|---|---|---|
| 1366410276 | NPI | - | NPPES |
| 050051043 | Other | RR MEDICARE | |
| 30858 | Medicaid | NM | |
| NM011595 | Other | NM | BCBS NM |
| NM009D02 | Other | NM | BCBS OF NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | 89-285 (New Mexico) | Secondary |
| 207Q00000X | Family Medicine | 89-285 (New Mexico) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mountain View Regional Medical Center | Las cruces, NM | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Doctors Of Santa Teresa Pc | 6305740002 | 2 |
| El Paso Physical Therapy Specialists Llc | 1355762774 | 70 |
| El Paso Therapy Services, Inc. | 4587626106 | 66 |
| Las Cruces Hb Medical Services Llc | 8123473600 | 123 |
| Entity Name | Doctors Of Santa Teresa Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639121692 PECOS PAC ID: 6305740002 Enrollment ID: O20031124000676 |
| Mailing Address | Practice Location Address |
|---|---|
| Emilio T Rivera, MD Po Box 1590, Santa Teresa, NM 88008-1590 Ph: (575) 589-1144 | Emilio T Rivera, MD 5290 Mcnutt Rd, Ste 109, Santa Teresa, NM 88008 Ph: (575) 589-1144 |
Dr. Douglas Zischkau, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 5055 Mcnutt Rd, Santa Teresa, NM 88008 Phone: 575-589-5005 Fax: 575-589-1333 | |
Dr. Robert L Nichols, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1300 Country Club Road, Santa Teresa, NM 88008 Phone: 505-589-4000 Fax: 505-589-7225 | |
Dr. Henry Calderoni, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 5055 Mcnutt Rd, Santa Teresa, NM 88008 Phone: 575-589-5005 Fax: 575-589-1333 | |
Dorothy F Gault-mcnemee, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 5290 Mcnutt Road, Santa Teresa, NM 88008 Phone: 505-589-1144 Fax: 505-589-2008 |