| Kimberly Ann Moseley, MD | |
|
455 Saint Michaels Dr, Santa Fe, NM 87505-7601 | |
| (505) 913-3975 | |
| Not Available |
| Full Name | Kimberly Ann Moseley |
|---|---|
| Gender | Female |
| Speciality | Surgery |
| Location | 455 Saint Michaels Dr, Santa Fe, New Mexico |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396832416 | NPI | - | NPPES |
| 165024001 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | MD38996 (Tennessee) | Secondary |
| 208600000X | Surgery | E-5272 (Arkansas) | Secondary |
| 208600000X | Surgery | MD2011-0065 (New Mexico) | Primary |
| Entity Name | Commonwealth Healthcare Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285858290 PECOS PAC ID: 7719075167 Enrollment ID: O20071212000093 |
| Mailing Address | Practice Location Address |
|---|---|
| Kimberly Ann Moseley, MD 455 Saint Michaels Dr, Santa Fe, NM 87505-7601 Ph: (505) 913-3975 | Kimberly Ann Moseley, MD 455 Saint Michaels Dr, Santa Fe, NM 87505-7601 Ph: (505) 913-3975 |
Poseidon Spyros Varvitsiotis, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1631 Hospital Dr, Santa Fe, NM 87505 Phone: 505-988-3975 Fax: 505-986-8001 | |
William Edgefield Mitchell Jr., MD Surgery Medicare: Medicare Enrolled Practice Location: 9a Rocky Slope Dr, Santa Fe, NM 87508 Phone: 505-473-3648 | |
Anna M Voltura, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 4200 Beckner Rd, Santa Fe, NM 87507 Phone: 505-477-2200 | |
John Dirk Wassner, MD Surgery Medicare: Medicare Enrolled Practice Location: 465 Saint Michaels Dr, Suite 110, Santa Fe, NM 87505 Phone: 505-954-8720 | |
Dr. Anna-maria Alicia De Costa, MD, PHD Surgery Medicare: Accepting Medicare Assignments Practice Location: 4200 Beckner Rd, Santa Fe, NM 87507 Phone: 505-477-2200 | |
Joseph M. Smith Iii, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 490b W Zia Rd, Suite A, Santa Fe, NM 87505 Phone: 505-995-8346 Fax: 505-995-8345 |