| Mr Loutsios K Ierides, MD | |
|
711 Christopher Dr, Belen, NM 87002-2617 | |
| (505) 248-1800 | |
| (505) 248-1917 |
| Full Name | Mr Loutsios K Ierides |
|---|---|
| Gender | Male |
| Speciality | Cardiovascular Disease (cardiology) |
| Experience | 54 Years |
| Location | 711 Christopher Dr, Belen, 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 |
|---|---|---|---|
| 1578601753 | NPI | - | NPPES |
| 20420 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RC0000X | Internal Medicine - Cardiovascular Disease | 82-219 (New Mexico) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Southwest Medical Associates, Llc | 7214831114 | 298 |
| Entity Name | Presbyterian Healthcare Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104802354 PECOS PAC ID: 9234041708 Enrollment ID: O20031103000603 |
| Entity Name | Miners' Colfax Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083931109 PECOS PAC ID: 5294647400 Enrollment ID: O20031105000106 |
| Entity Name | Rehoboth Mckinley Christian Health Care Services, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720084999 PECOS PAC ID: 1759293855 Enrollment ID: O20031105000466 |
| Entity Name | Southwest Medical Associates, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164491072 PECOS PAC ID: 7214831114 Enrollment ID: O20031121000724 |
| Entity Name | San Miguel Clinic Corp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114920717 PECOS PAC ID: 1254226079 Enrollment ID: O20040219000384 |
| Entity Name | Cibola General Hospital Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780677039 PECOS PAC ID: 7113935891 Enrollment ID: O20060323000127 |
| Entity Name | Unm Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831218627 PECOS PAC ID: 4981795267 Enrollment ID: O20070801000589 |
| Entity Name | Cibola General Hospital Corporation |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1780677039 PECOS PAC ID: 7113935891 Enrollment ID: O20071121000279 |
| Entity Name | Sierra Vista Hospital 69 |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1760446009 PECOS PAC ID: 0143122416 Enrollment ID: O20090218000155 |
| Entity Name | Sierra Vista Hospital 69 |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1760446009 PECOS PAC ID: 0143122416 Enrollment ID: O20090227000341 |
| Entity Name | Miners' Colfax Medical Center |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1083931109 PECOS PAC ID: 5294647400 Enrollment ID: O20100514000911 |
| Entity Name | Miners' Colfax Medical Center |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1083931109 PECOS PAC ID: 5294647400 Enrollment ID: O20110317000764 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Loutsios K Ierides, MD 711 Christopher Dr, Belen, NM 87002-2617 Ph: (505) 248-1800 | Mr Loutsios K Ierides, MD 711 Christopher Dr, Belen, NM 87002-2617 Ph: (505) 248-1800 |
Roderick Woods, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 711 Christopher Dr, Belen, NM 87002 Phone: 505-248-1800 Fax: 505-248-1917 | |
Mr. Michael E. Gurule, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 711 Christopher Dr, Belen, NM 87002 Phone: 505-248-1800 Fax: 505-248-1917 | |
Richard A Moore, MD Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 609 S Christopher Rd, Pmg Belen, Belen, NM 87002 Phone: 505-864-5454 Fax: 505-864-5450 |