| Dr Rebecca Yael Bak, MD | |
|
2050a 2nd St Se, Kirtland Afb, NM 87117-0467 | |
| (505) 846-3200 | |
| Not Available |
| Full Name | Dr Rebecca Yael Bak |
|---|---|
| Gender | Female |
| Speciality | Family Medicine |
| Location | 2050a 2nd St Se, Kirtland Afb, 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 |
|---|---|---|---|
| 1649565086 | NPI | - | NPPES |
| 36125342 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MD2016-0537 (New Mexico) | Primary |
| Entity Name | Dhhs,phs,naihs Gallup Indian Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225002322 PECOS PAC ID: 3173436409 Enrollment ID: O20031111000840 |
| Entity Name | Zuni Indian Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497843734 PECOS PAC ID: 5698689644 Enrollment ID: O20031114000284 |
| Entity Name | Pueblo Of Jemez |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417082215 PECOS PAC ID: 3971584509 Enrollment ID: O20050411001246 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Rebecca Yael Bak, MD 1405 Canyon Hills Dr Ne, Albuquerque, NM 87112-6397 Ph: (518) 269-1213 | Dr Rebecca Yael Bak, MD 2050a 2nd St Se, Kirtland Afb, NM 87117-0467 Ph: (505) 846-3200 |
Evan Robert Locke, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 2050a 2nd St Se, Kirtland Afb, NM 87117 Phone: 505-846-3200 | |
Dr. Antonio J. Eppolito, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2050 2nd St Se, Kirtland Afb, NM 87117 Phone: 505-853-0140 | |
Jay Ronald Allen, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2050a 2nd St Se, Kirtland Afb, NM 87117 Phone: 505-846-3562 | |
Susan Roberts, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2050a 2nd St Se, Kirtland Afb, NM 87117 Phone: 505-846-3200 | |
Dr. Kenneth Egerstrom, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2050a 2nd St Se, Kirtland Afb, NM 87117 Phone: 505-846-7695 | |
Dr. Daniel J Hohman, DO, MPH Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2050a 2nd St Se, Kirtland Afb, NM 87117 Phone: 505-846-3200 Fax: 505-846-3930 |