| Amy Longfellow, PA | |
|
1333 Paseo Del Pueblo Sur, Taos, NM 87571-5972 | |
| (575) 224-6320 | |
| (575) 224-6320 |
| Full Name | Amy Longfellow |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 1333 Paseo Del Pueblo Sur, Taos, 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 |
|---|---|---|---|
| 1023652633 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | NMPA2019-0101 (New Mexico) | Primary |
| 207Q00000X | Family Medicine | PA2019-0101 (New Mexico) | Secondary |
| Entity Name | El Centro Family Health |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780689034 PECOS PAC ID: 9830080688 Enrollment ID: O20100528000457 |
| Mailing Address | Practice Location Address |
|---|---|
| Amy Longfellow, PA 1333 Paseo Del Pueblo Sur, Taos, NM 87571-5972 Ph: (575) 224-6320 | Amy Longfellow, PA 1333 Paseo Del Pueblo Sur, Taos, NM 87571-5972 Ph: (575) 224-6320 |
Patrick Keenan Shanley, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1219 Gusdorf Rd Ste A, Taos, NM 87571 Phone: 505-758-0009 Fax: 505-758-8736 |
Charlton Morgan Weyer, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1393 Weimer Rd, Taos, NM 87571 Phone: 575-758-8651 |
Dan F Thor, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1397 Weimer Rd, Taos, NM 87571 Phone: 575-737-3397 |
Brittney Coe, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 630 Paseo Del Pueblo Sur Ste 125, Taos, NM 87571 Phone: 575-751-7430 |
Ms. Elizabeth Anne Martinez, P.A.-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1400 Weimer Rd, Taos, NM 87571 Phone: 505-758-2073 Fax: 505-751-3031 |
Charles Edward Bonfanti, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 630 Paseo Del Pueblo Sur, Suite 150, Taos, NM 87571 Phone: 575-758-3005 Fax: 575-758-7010 |
Christa Danell Castro, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1397 Weimer Road, Taos, NM 87571 Phone: 505-751-5835 |