| Mary E Moyer, MD | |
|
80 B Veterans Blvd, Acoma, NM 87034 | |
| (505) 552-5385 | |
| (505) 552-5828 |
| Full Name | Mary E Moyer |
|---|---|
| Gender | Female |
| Speciality | Family Medicine |
| Location | 80 B Veterans Blvd, Acoma, 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 |
|---|---|---|---|
| 1356450043 | NPI | - | NPPES |
| H3451 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 19675 (Arizona) | Primary |
| Entity Name | Sjhmc Physician Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326098005 PECOS PAC ID: 4486646197 Enrollment ID: O20040401001189 |
| Mailing Address | Practice Location Address |
|---|---|
| Mary E Moyer, MD P.o. Box 130, San Fidel, NM 87049-0130 Ph: (505) 552-5385 | Mary E Moyer, MD 80 B Veterans Blvd, Acoma, NM 87034 Ph: (505) 552-5385 |
Dr. George R Kiracofe, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 80 B Veterans Blvd, I-40, Exit 102, Acoma, NM 87034 Phone: 505-552-5300 Fax: 505-552-5828 | |
Rebecca H Ryan, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 80 B Veterans Blvd, Acoma, NM 87034 Phone: 505-552-5300 Fax: 505-552-5490 | |
Dr. Halea Kala Meese, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 80 B Veterans, Acoma, NM 87034 Phone: 505-552-5300 Fax: 505-552-5490 | |
Dr. David Nguyen, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 80 B Veterans Blvd, Acoma, NM 87034 Phone: 505-552-5385 Fax: 505-552-5828 | |
Annika Bannon, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 80 B Veterans Blvd, Acoma, NM 87034 Phone: 505-552-5300 Fax: 505-552-5490 | |
Dr. Nabil M Habib, M.D Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 80 B Veterans Blvd, I-40, Exit 102, Acoma, NM 87034 Phone: 505-552-5300 Fax: 505-552-5828 |