| Mohan Kumar Bangalore Puttaiah, MD | |
|
1600 N Main Ave, Lovington, NM 88260-2830 | |
| (575) 396-6611 | |
| Not Available |
| Full Name | Mohan Kumar Bangalore Puttaiah |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 33 Years |
| Location | 1600 N Main Ave, Lovington, 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 |
|---|---|---|---|
| 1619007697 | NPI | - | NPPES |
| 0-569-979-8 | Other | ID | ECFMG CERTIFICATION # |
| 00010145533 | Other | ID | BLUESHIELD OF IDAHO GF # |
| 000010145534 | Other | ID | BLUESHIELD OF IDAHO MH # |
| 000010145537 | Other | ID | BLUESHIELD OF IDAHO GV # |
| 58826 | Other | ID | BLUE CROSS OF IDAHO |
| 539004052 08 | Other | ID | I-94 # CLASS H1B1 |
| 806780500 | Medicaid | ID | |
| 0007241559 | Other | ID | AETNA ID # |
| 284867 | Other | ID | ALTIUS HEALTH PLAN BILL # |
| CS10257 | Other | ID | IDAHO CONTROLLED SUBST. # |
| M-8828 | Other | ID | IDAHO MEDICAL LICENSE # |
| P00161243 | Other | ID | RAILROAD MEDICARE BILL # |
| Facility Name | Location | Facility Type |
|---|---|---|
| Dr Dan C Trigg Memorial Hospital | Tucumcari, NM | Hospital |
| Roosevelt General Hospital | Portales, NM | Hospital |
| Gerald Champion Regional Medical Center | Alamogordo, NM | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Prisma Health Urgent Care Of South Carolina Pc | 1254703788 | 130 |
| Curry Emergency Group Llc | 1759687064 | 9 |
| Otero County Hospital Association | 3173516606 | 178 |
| Entity Name | Musc Community Physicians |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841878006 PECOS PAC ID: 6507260668 Enrollment ID: O20210811002388 |
| Entity Name | Prisma Health Urgent Care Of South Carolina Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851000855 PECOS PAC ID: 1254703788 Enrollment ID: O20230210000249 |
| Mailing Address | Practice Location Address |
|---|---|
| Mohan Kumar Bangalore Puttaiah, MD 1600 N Main Ave, Lovington, NM 88260-2830 Ph: (575) 396-6611 | Mohan Kumar Bangalore Puttaiah, MD 1600 N Main Ave, Lovington, NM 88260-2830 Ph: (575) 396-6611 |
Patrick J Homer, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1600 North Main, Lovington, NM 88260 Phone: 575-396-6611 Fax: 575-396-1454 | |
Cyril M Simon, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1600 N Main Ave, Lovington, NM 88260 Phone: 575-396-6611 Fax: 575-396-1454 | |
Neil M Berry, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 1600 North Main, Lovington, NM 88260 Phone: 575-396-6611 Fax: 575-396-1454 | |
Ariel Joy Scott, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1600 N Main Ave, Lovington, NM 88260 Phone: 575-396-6611 Fax: 575-396-1454 | |
Marco Maldonado, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1600 N Main Ave, Lovington, NM 88260 Phone: 575-396-6611 | |
Nageena Potluri, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1600 N Main Ave, Lovington, NM 88260 Phone: 575-396-6611 | |
Dr. Michael R Springer, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1600 North Main, Lovington, NM 88260 Phone: 575-396-6611 Fax: 575-396-1454 |