| Kadallah Zizwee Brandy, | |
|
516 East Nizhoni Blvd., Gallup, NM 87301-1337 | |
| (505) 722-1000 | |
| (505) 726-8557 |
| Full Name | Kadallah Zizwee Brandy |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 17 Years |
| Location | 516 East Nizhoni Blvd., Gallup, 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 |
|---|---|---|---|
| 1689839482 | NPI | - | NPPES |
| VAD000 | Other | TN | FEDERAL UPIN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 46860 (Tennessee) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Parkridge Medical Center | Chattanooga, TN | Hospital |
| Tristar Summit Medical Center | Hermitage, TN | Hospital |
| Cartersville Medical Center | Cartersville, GA | Hospital |
| Rhea Medical Center | Dayton, TN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Hospital Medicine Services Of Tn Llc | 2365807633 | 256 |
| Allatoona Physician Services Pc | 7517342579 | 33 |
| Entity Name | Summit Medical Group, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659090298 PECOS PAC ID: 2860396330 Enrollment ID: O20031125000793 |
| Entity Name | Southeastern Physician Services Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083835441 PECOS PAC ID: 0042307852 Enrollment ID: O20071025000571 |
| Entity Name | Apogee Medical Group Tennessee Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578717682 PECOS PAC ID: 4688721863 Enrollment ID: O20090403000215 |
| Entity Name | West Tennessee Healthcare Hospitalists Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720635188 PECOS PAC ID: 1951735521 Enrollment ID: O20200107003009 |
| Entity Name | Hospital Medicine Services Of Tn Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982301065 PECOS PAC ID: 2365807633 Enrollment ID: O20230421000177 |
| Mailing Address | Practice Location Address |
|---|---|
| Kadallah Zizwee Brandy, P.o. Box 1337, Gallup, NM 87305-1337 Ph: (505) 722-1000 | Kadallah Zizwee Brandy, 516 East Nizhoni Blvd., Gallup, NM 87301-1337 Ph: (505) 722-1000 |
Dr. Frederic William Held, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 516 E Nizhoni Blvd, Gallup, NM 87301 Phone: 505-722-1000 Fax: 505-726-8557 | |
Jeanmaire Rene Offner, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 516 E. Nizhoni Blvd, Box 1337, Gallup, NM 87301 Phone: 505-722-1262 Fax: 505-726-8557 | |
Kimberly Ganster Suk, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 516 E Nizhoni Blvd, Gallup, NM 87301 Phone: 505-722-1575 | |
Dr. Julia Noelle Beamesderfer, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 516 E Nizhoni Blvd, Gallup, NM 87301 Phone: 505-722-1000 | |
Dr. Ayodele Olumide Erinle, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1901 Red Rock Dr, Gallup, NM 87301 Phone: 505-863-7933 Fax: 505-863-9406 | |
Thomas Robinson, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: Rehoboth Mckinley Christian Health Care Services, 2111 College Drive, Gallup, NM 87301 Phone: 505-863-1820 | |
Dr. Haley Thun, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 516 E Nizhoni Blvd, Gallup, NM 87301 Phone: 505-722-1000 |