| Richard Saul Diaz Tushman, MD | |
|
2410 W Pierce St, Carlsbad, NM 88220-3512 | |
| (575) 887-7281 | |
| (575) 885-5983 |
| Full Name | Richard Saul Diaz Tushman |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Experience | 46 Years |
| Location | 2410 W Pierce St, Carlsbad, 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 |
|---|---|---|---|
| 1568493773 | NPI | - | NPPES |
| 341525 | Medicaid | AZ | |
| 04653251 | Medicaid | MS | |
| 1715611 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | 35967 (Arizona) | Secondary |
| 208800000X | Urology | MD2006-0523 (New Mexico) | Secondary |
| 208800000X | Urology | MD.200955 (Louisiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Plains Regional Medical Center | Clovis, NM | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Presbyterian Healthcare Services | 9234041708 | 1179 |
| 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 | Carlsbad Medical Center Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518904168 PECOS PAC ID: 8729990734 Enrollment ID: O20031104000274 |
| Entity Name | Roswell Clinic Corp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649267618 PECOS PAC ID: 9436062759 Enrollment ID: O20031111000799 |
| Mailing Address | Practice Location Address |
|---|---|
| Richard Saul Diaz Tushman, MD 2410 W Pierce St, Carlsbad, NM 88220-3512 Ph: (575) 887-7281 | Richard Saul Diaz Tushman, MD 2410 W Pierce St, Carlsbad, NM 88220-3512 Ph: (575) 887-7281 |
Mitchell Ryan Petty, Urology Medicare: Medicare Enrolled Practice Location: 2420 W Pierce St Ste 102, Carlsbad, NM 88220 Phone: 575-887-4100 |