| Monogram Health Professional Services Of New Mexico Llc | |
|
500 Marquette Ave Nw Ste 1200 Albuquerque NM 87102-5312 | |
| (615) 673-4455 | |
| Not Available |
| Full Name | Monogram Health Professional Services Of New Mexico Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 500 Marquette Ave Nw Ste 1200, Albuquerque, New Mexico |
| Authorized Official Name and Position | Shawn Verner (GENERAL COUNSEL AND SECRETARY) |
| Authorized Official Contact | 6159941889 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Monogram Health Professional Services Of New Mexico Llc 5410 Maryland Way Ste 400 Brentwood TN 37027-8087 Ph: (615) 465-8684 | Monogram Health Professional Services Of New Mexico Llc 500 Marquette Ave Nw Ste 1200 Albuquerque NM 87102-5312 Ph: (615) 673-4455 |
| NPI Number | 1831804699 |
|---|---|
| Provider Enumeration Date | 01/17/2023 |
| Last Update Date | 01/29/2025 |
| Certification Date | 01/29/2025 |
| Medicare PECOS PAC ID | 5395110480 |
|---|---|
| Medicare Enrollment ID | O20241202003660 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831804699 | NPI | - | NPPES |
| Provider Name | Arun Kottarathara |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1568852838 PECOS PAC ID: 9436429800 Enrollment ID: I20221206003098 |
| Provider Name | Shaminder Gupta |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1730183401 PECOS PAC ID: 1658322300 Enrollment ID: I20230309000101 |
| Provider Name | Moniba Bilal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659502441 PECOS PAC ID: 7517115074 Enrollment ID: I20230920001773 |
| Provider Name | Parag Vohra |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1073749412 PECOS PAC ID: 5092860858 Enrollment ID: I20231130000146 |
| Provider Name | Jaclyn A Masulli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124565171 PECOS PAC ID: 5294149761 Enrollment ID: I20240408000709 |
| Provider Name | Amanda N Linneman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407456882 PECOS PAC ID: 5597176271 Enrollment ID: I20240424004162 |
| Provider Name | Shakitta D Jefferson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952934135 PECOS PAC ID: 0749618304 Enrollment ID: I20240805003077 |
| Provider Name | Felicia Uzuyem |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811367253 PECOS PAC ID: 5193029080 Enrollment ID: I20240829004430 |
| Provider Name | Adaobi J Ideli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447910807 PECOS PAC ID: 1557715695 Enrollment ID: I20241016002372 |
| Provider Name | Kathleen M Ford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861945735 PECOS PAC ID: 4587951082 Enrollment ID: I20241121001261 |
| Provider Name | Christopher Pitsch |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720309297 PECOS PAC ID: 2264657832 Enrollment ID: I20250114000328 |
| Provider Name | Melissa Kashlan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538104880 PECOS PAC ID: 4284685819 Enrollment ID: I20250423003477 |
Integrated Healthcare Of New Mexico Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7632 William Moyers Ave Ne, Albuquerque, NM 87122 Phone: 505-554-1716 Fax: 505-792-5222 | |
Lotus Behavioral Health Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4010 Carlisle Blvd Ne, Albuquerque, NM 87107 Phone: 401-954-1397 | |
Choices Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3620 Wyoming Blvd Ne, Suite L3, Albuquerque, NM 87111 Phone: 505-730-6791 Fax: 505-814-5740 | |
Broken Arrow Counseling Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 840 Simon Ln Sw, Albuquerque, NM 87105 Phone: 505-818-7934 | |
Mind Over Matters Holistic Wellness Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2424 Palomas Dr Ne, Albuquerque, NM 87110 Phone: 505-459-6980 | |
Solamente Holistic Health Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 833 Lomas Blvd Nw, Albuquerque, NM 87102 Phone: 505-243-6353 | |
Drgmed, Inc. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 400 Gold Ave Sw Ste 1060, Albuquerque, NM 87102 Phone: 305-450-9651 Fax: 305-418-7511 |