| Ping Pan, MD | |
|
303 Roma Ave Nw, Albuquerque, NM 87102-2251 | |
| (214) 402-9398 | |
| Not Available |
| Full Name | Ping Pan |
|---|---|
| Gender | Female |
| Speciality | General Surgery |
| Experience | 14 Years |
| Location | 303 Roma Ave Nw, Albuquerque, New Mexico |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508155540 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | MD2017-0564 (New Mexico) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Parkview Medical Center, Inc | Pueblo, CO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Parkview Ancillary Services Corporation | 4385722511 | 273 |
| Poudre Valley Medical Group Llc | 9638208549 | 1992 |
| Entity Name | Parkview Ancillary Services Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982878765 PECOS PAC ID: 4385722511 Enrollment ID: O20080429000248 |
| Entity Name | Poudre Valley Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225356868 PECOS PAC ID: 9638208549 Enrollment ID: O20100602000122 |
| Mailing Address | Practice Location Address |
|---|---|
| Ping Pan, MD 11704 Richfield Ave Ne, Albuquerque, NM 87122-4025 Ph: (214) 402-9398 | Ping Pan, MD 303 Roma Ave Nw, Albuquerque, NM 87102-2251 Ph: (214) 402-9398 |
Dr. Ryan P. Tyner, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 10511 Golf Course Rd Nw, Albuquerque, NM 87114 Phone: 505-262-7281 | |
Dr. Edward J O'reilly, MD Surgery Medicare: Medicare Enrolled Practice Location: 201 Cedar St Se Ste 306, Albuquerque, NM 87106 Phone: 505-224-7478 | |
Krista L Turner, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 2211 Lomas Blvd Ne, Albuquerque, NM 87106 Phone: 505-272-6441 | |
Dr. Sylvia Marina Ramos, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 1010 Las Lomas Rd Ne, Suite #1, Albuquerque, NM 87102 Phone: 505-248-1518 Fax: 505-248-1610 | |
Laura Medina, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 4700 Jefferson St Ne, Albuquerque, NM 87109 Phone: 505-925-7464 | |
Dr. Brian Lee Holt, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 715 Martin Luther King Ave Ne, Suite 301, Albuquerque, NM 87102 Phone: 505-262-7281 Fax: 505-262-7622 | |
Deanna Gonzalez, Surgery Medicare: Not Enrolled in Medicare Practice Location: Msc10 5610 1 University Of New Mexico, Albuquerque, NM 87131 Phone: 505-272-4161 Fax: 505-272-2776 |