| Adam Andrew Clark, | |
|
1501 San Pedro Dr Se, Albuquerque, NM 87108-5153 | |
| (505) 265-1711 | |
| Not Available |
| Full Name | Adam Andrew Clark |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant - Medical |
| Location | 1501 San Pedro Dr Se, 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 |
|---|---|---|---|
| 1447986914 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | PA2024-0071 (New Mexico) | Primary |
| Entity Name | Genesis Eldercare Physician Services LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548615313 PECOS PAC ID: 9830002534 Enrollment ID: O20170619000933 |
| Entity Name | Alignmed Partners PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881109452 PECOS PAC ID: 9739447400 Enrollment ID: O20180103001472 |
| Entity Name | Alignmed Medical Group PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366289423 PECOS PAC ID: 3476090440 Enrollment ID: O20240906004063 |
| Mailing Address | Practice Location Address |
|---|---|
| Adam Andrew Clark, 1501 San Pedro Dr Se, Albuquerque, NM 87108-5153 Ph: (505) 265-1711 | Adam Andrew Clark, 1501 San Pedro Dr Se, Albuquerque, NM 87108-5153 Ph: (505) 265-1711 |
Audra Dawn Clemens, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1100 Central Ave Se, Albuquerque, NM 87106 Phone: 505-724-6124 Fax: 505-724-6125 |
Jessica Rose Aragon, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 5904 Holly Ave Ne, Albuquerque, NM 87113 Phone: 505-298-2505 |
Elise Nicole Pedigo, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 630 Haines Ave Nw, Albuquerque, NM 87102 Phone: 505-268-5611 Fax: 505-268-5736 |
Samantha Travierso, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1501 San Pedro Dr Se, Albuquerque, NM 87108 Phone: 505-265-1711 |
Mrs. Danielle Kimberly Mccarthy, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 8301 Spain Rd Ne, Albuquerque, NM 87109 Phone: 505-821-6663 |
Ms. Lauren Soules, P.A.-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3615 Highway 528 Nw, Albuquerque, NM 87114 Phone: 505-248-1518 |
Jennifer Lynn Otis, Physician Assistant Medicare: Medicare Enrolled Practice Location: 3741 Rutledge Rd Ne, Albuquerque, NM 87109 Phone: 505-798-9300 Fax: 505-798-0808 |