| Pamela J Daffern, MD | |
|
1020 Tijeras Ave Ne, Suite 22, Albuquerque, NM 87106-4749 | |
| (505) 848-3124 | |
| (505) 843-9037 |
| Full Name | Pamela J Daffern |
|---|---|
| Gender | Female |
| Speciality | Allergy & Immunology |
| Location | 1020 Tijeras Ave Ne, Albuquerque, 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 |
|---|---|---|---|
| 1043309107 | NPI | - | NPPES |
| 1396970281 | Other | VA | GROUP NPI |
| 94507520 | Medicaid | NM | |
| 1598933145 | Other | NM | GROUP NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207K00000X | Allergy & Immunology | 0101059354 (Virginia) | Primary |
| 207R00000X | Internal Medicine | 0101059354 (Virginia) | Secondary |
| Entity Name | Advanced Allergy Associates of New Mexico Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780047621 PECOS PAC ID: 3072803212 Enrollment ID: O20160601000463 |
| Mailing Address | Practice Location Address |
|---|---|
| Pamela J Daffern, MD 1020 Tijeras Ave Ne, Suite 22, Albuquerque, NM 87106-4749 Ph: (505) 848-3124 | Pamela J Daffern, MD 1020 Tijeras Ave Ne, Suite 22, Albuquerque, NM 87106-4749 Ph: (505) 848-3124 |
Mark Schuyler, MD Allergy & Immunology Medicare: Medicare Enrolled Practice Location: 1 Unm, Msc10 5550, Albuquerque, NM 87131 Phone: 505-925-4197 |
Dr. Jeffrey W Glassheim, DO Allergy & Immunology Medicare: Not Enrolled in Medicare Practice Location: 1010 Las Lomas Rd Ne, Suite 4, Albuquerque, NM 87102 Phone: 505-246-8700 Fax: 866-571-9011 |
Valerie S Tausch, MD Allergy & Immunology Medicare: Accepting Medicare Assignments Practice Location: 8205 Spain Rd Ne Ste 101, Albuquerque, NM 87109 Phone: 505-255-1512 Fax: 505-255-1513 |
Dr. Jack George Ghably, M.D. Allergy & Immunology Medicare: Accepting Medicare Assignments Practice Location: 7001 Signal Ave Ne, Albuquerque, NM 87113 Phone: 505-856-2735 Fax: 505-856-2749 |
Dr. Katherine Jean Abernathy-carver, M.D. Allergy & Immunology Medicare: Not Enrolled in Medicare Practice Location: 2509 Virginia St Ne, Ste B, Albuquerque, NM 87110 Phone: 505-294-1471 Fax: 505-293-7148 |
Mr. Osman Caner Dokmeci, M.D Allergy & Immunology Medicare: Accepting Medicare Assignments Practice Location: 8304 R C Gorman Ave Ne, Albuquerque, NM 87122 Phone: 505-250-4273 |
Michael H Keslin, M.D. Allergy & Immunology Medicare: Not Enrolled in Medicare Practice Location: 6100 Pan American East Fwy Ne, Suite 330, Albuquerque, NM 87109 Phone: 505-856-2735 Fax: 505-856-2749 |