Jeremy Todd Edmonds, DO | |
1108 Central Ave Sw, Moriarty, NM 87035-1520 | |
(505) 832-4434 | |
(505) 832-5024 |
Full Name | Jeremy Todd Edmonds |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 22 Years |
Location | 1108 Central Ave Sw, Moriarty, 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 |
---|---|---|---|
1932116472 | NPI | - | NPPES |
30827850 | Medicaid | NM | |
080165527 | Other | NM | RAILROAD MEDICARE NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | A-1270-04 (New Mexico) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Mountain Home Health Care, Inc | Taos, NM | Home health agency |
Holy Cross Hospital A Div Of Taos Health Systems | Taos, NM | Hospital |
Christus St Vincent Regional Medical Center | Santa fe, NM | Hospital |
Lovelace Medical Center | Albuquerque, NM | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Schreiber Family Medicine Llc | 9436431038 | 5 |
Entity Name | Schreiber Family Medicine Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780127712 PECOS PAC ID: 9436431038 Enrollment ID: O20170113002291 |
Mailing Address | Practice Location Address |
---|---|
Jeremy Todd Edmonds, DO Po Box 1520, Moriarty, NM 87035-1520 Ph: (505) 832-4434 | Jeremy Todd Edmonds, DO 1108 Central Ave Sw, Moriarty, NM 87035-1520 Ph: (505) 832-4434 |
James D Lutz, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1108 Highway 66, Box 1520, Moriarty, NM 87035 Phone: 505-832-4434 Fax: 505-832-5024 | |
Ashley Gambling, FNP-C Family Medicine Medicare: Medicare Enrolled Practice Location: 1108 W Us Route 66, Moriarty, NM 87035 Phone: 505-832-4434 Fax: 505-832-5024 |