| Dr Thomas Scott Pannke, MD | |
|
601 Martin Luther King Ave Ne, Albuquerque, NM 87102-3619 | |
| (505) 727-8000 | |
| Not Available |
| Full Name | Dr Thomas Scott Pannke |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 601 Martin Luther King Ave Ne, Albuquerque, 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 |
|---|---|---|---|
| 1396779716 | NPI | - | NPPES |
| 930079986 | Other | WI | MEDICARE RAILROAD |
| 31814700 | Medicaid | WI | |
| 930078269 | Other | WI | MEDICARE RAILROAD |
| 104160666 | Medicaid | MI | |
| 930106591 | Other | WI | MEDICARE RAILROAD |
| Entity Name | Sunnyside Emergency Group A Professional Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033529367 PECOS PAC ID: 0941424451 Enrollment ID: O20140623002600 |
| Entity Name | Olney Emergency Group, A Professional Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386108868 PECOS PAC ID: 8426399965 Enrollment ID: O20190409003071 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Thomas Scott Pannke, MD 200 Corporate Blvd, Lafayette, LA 70508-3870 Ph: (800) 893-9698 | Dr Thomas Scott Pannke, MD 601 Martin Luther King Ave Ne, Albuquerque, NM 87102-3619 Ph: (505) 727-8000 |
Darren M Shafer, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: Pmg Emergency Medicine, 1101 Central Se, Albuquerque, NM 87106 Phone: 505-841-1125 Fax: 505-841-1737 | |
Nicholas Weiss, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1100 Central Ave Se, Emergency Medicine, Albuquerque, NM 87106 Phone: 505-841-1125 Fax: 505-841-1737 | |
Matthew D Poage, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 5400 Gibson Blvd Se, Albuquerque, NM 87108 Phone: 904-805-1300 Fax: 904-805-1302 | |
Matthew Wilks, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: Unm Department Of Emergency Medicine Msc11-6025, 1 University Of New Mexico, Albuquerque, NM 87131 Phone: 505-272-5062 Fax: 505-925-7290 | |
Daniel M. Gee, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 6400 Paseo Del Norte Blvd Ne, Albuquerque, NM 87113 Phone: 505-596-2100 Fax: 505-596-2180 | |
Lauri B Magee, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1100 Central Ave Se, Albuquerque, NM 87106 Phone: 505-841-1125 | |
Dr. Tony B Salazar, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 601 Dr Martin Luther King Jr Ave Ne, Albuquerque, NM 87102 Phone: 505-727-1008 |