| Travis Reed, DO | |
|
601 W Country Club Rd Ste 201, Roswell, NM 88201-5225 | |
| (575) 627-0535 | |
| (575) 627-5590 |
| Full Name | Travis Reed |
|---|---|
| Gender | Male |
| Speciality | Surgery |
| Location | 601 W Country Club Rd Ste 201, Roswell, 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 |
|---|---|---|---|
| 1780879502 | NPI | - | NPPES |
| N0025580 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 5101015726 (Michigan) | Secondary |
| 208600000X | Surgery | A-1476-08 (New Mexico) | Primary |
| Entity Name | Banner Physician Specialists Arizona Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316228802 PECOS PAC ID: 6204002272 Enrollment ID: O20111222000509 |
| Mailing Address | Practice Location Address |
|---|---|
| Travis Reed, DO 601 W Country Club Rd Ste 201, Roswell, NM 88201-5225 Ph: (575) 627-0535 | Travis Reed, DO 601 W Country Club Rd Ste 201, Roswell, NM 88201-5225 Ph: (575) 627-0535 |
Dr. Ermenegildo E. Frezza, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 311 W Country Club Rd, Ste 1, Roswell, NM 88201 Phone: 575-625-3400 Fax: 575-625-3415 | |
Maria Paz De La Torre Herrera, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 601 W Country Club Rd Ste 201, Roswell, NM 88201 Phone: 575-627-0535 Fax: 575-627-5590 | |
Dr. James John Castle, DO Surgery Medicare: Medicare Enrolled Practice Location: 300 W Country Club Rd, Suite 130, Roswell, NM 88201 Phone: 575-625-2669 Fax: 575-624-4599 | |
Dr. Donald E. Wenner, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1600 Se Main St, Suite F, Roswell, NM 88203 Phone: 575-622-4374 Fax: 575-623-1161 | |
Dr. Ankita Mishra, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 601 W Country Club Rd Ste 201, Roswell, NM 88201 Phone: 575-627-0535 Fax: 575-627-5590 | |
David M Turner, MD Surgery Medicare: Medicare Enrolled Practice Location: 1600 Se Main, Suite F, Roswell, NM 88203 Phone: 575-627-6666 Fax: 575-623-1161 | |
Katherine Ashley Baugh, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 601 W Country Club Rd Ste 201, Roswell, NM 88201 Phone: 575-627-0535 Fax: 575-627-5590 |