| Russell Robert Reeves, | |
|
117 Camino De Vida Ste 300, Santa Rosa, NM 88435-2267 | |
| (575) 472-4311 | |
| (877) 651-0289 |
| Full Name | Russell Robert Reeves |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 5 Years |
| Location | 117 Camino De Vida Ste 300, Santa Rosa, 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 |
|---|---|---|---|
| 1871230706 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MD2025-1037 (New Mexico) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Guadalupe County Hospital | Santa rosa, NM | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Guadalupe County | 9335118918 | 17 |
| Sunrise Clinics | 6800226374 | 33 |
| Entity Name | Guadalupe County |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346249968 PECOS PAC ID: 9335118918 Enrollment ID: O20110629000074 |
| Entity Name | Sunrise Clinics |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164055927 PECOS PAC ID: 6800226374 Enrollment ID: O20200423002808 |
| Mailing Address | Practice Location Address |
|---|---|
| Russell Robert Reeves, 117 Camino De Vida Ste 300, Santa Rosa, NM 88435-2267 Ph: (575) 472-4311 | Russell Robert Reeves, 117 Camino De Vida Ste 300, Santa Rosa, NM 88435-2267 Ph: (575) 472-4311 |
Miranda C Haley, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 117 Camino De Vida, Suite 300, Santa Rosa, NM 88435 Phone: 575-472-4311 |
Dr. Randal Warren Brown, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 117 Camino De Vida, Suite 300, Santa Rosa, NM 88435 Phone: 505-472-4311 Fax: 505-472-4313 |