| Stephen J Otero, MD | |
|
129 El Paso Road, Lcmc White Mountain Medical Associates, Ruidoso, NM 88345 | |
| (575) 630-8350 | |
| (575) 257-4055 |
| Full Name | Stephen J Otero |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 24 Years |
| Location | 129 El Paso Road, Ruidoso, 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 |
|---|---|---|---|
| 1720172109 | NPI | - | NPPES |
| 17351235 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MD2003-0049 (New Mexico) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Encompass Health Home Health | Ruidoso, NM | Home health agency |
| Lincoln County Medical Center | Ruidoso, 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 |
| Mailing Address | Practice Location Address |
|---|---|
| Stephen J Otero, MD Po Box 26666, Phs Provider Enrollment, Albuquerque, NM 87125-6666 Ph: (505) 923-5356 | Stephen J Otero, MD 129 El Paso Road, Lcmc White Mountain Medical Associates, Ruidoso, NM 88345 Ph: (575) 630-8350 |
Suzelle L Moffitt, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 121 El Paso Rd, Ruidoso, NM 88345 Phone: 575-630-8350 Fax: 575-257-4055 | |
Francisco J Vargas Nava, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 211 Sudderth Dr, Ruidoso, NM 88345 Phone: 575-257-8200 Fax: 505-630-4233 | |
Dr. Homero Renteria, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 708 Mechem Dr Ste B, Ruidoso, NM 88345 Phone: 575-808-0536 Fax: 575-257-2331 | |
Mary S Martinez, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 121 El Paso Rd, Lincoln County Medical Complex, Ruidoso, NM 88345 Phone: 575-630-8350 Fax: 575-630-5232 | |
Terri-ann K Grant, CNP Family Medicine Medicare: Medicare Enrolled Practice Location: 211 Sudderth Dr, Ruidoso, NM 88345 Phone: 575-257-8200 | |
Dr. Heather Ellen Marancenbaum, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 211 Sudderth Dr, Ruidoso, NM 88345 Phone: 575-257-8200 | |
Dr. Victor J Rodrigues, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 125 El Paso Rd, Ruidoso, NM 88345 Phone: 575-630-4230 Fax: 575-630-4237 |