| Daniel Peralta, | |
|
630 Paseo Del Pueblo Sur, Taos, NM 87571-6070 | |
| (575) 758-7430 | |
| Not Available |
| Full Name | Daniel Peralta |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 6 Years |
| Location | 630 Paseo Del Pueblo Sur, Taos, New Mexico |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952990079 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (New Mexico) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Advantage Home Care, Inc Dba Corus Home Health | Albuquerque, NM | Home health agency |
| Ambercare Home Health | Belen, NM | Home health agency |
| Presbyterian Hospital | Albuquerque, NM | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mcleod Medical Centers Of Nm Inc | 5092075531 | 54 |
| Entity Name | Mcleod Medical Centers of NM Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700393782 PECOS PAC ID: 5092075531 Enrollment ID: O20180201001863 |
| Mailing Address | Practice Location Address |
|---|---|
| Daniel Peralta, 12025 Manitoba Dr Ne, Albuquerque, NM 87111-2749 Ph: (575) 770-4024 | Daniel Peralta, 630 Paseo Del Pueblo Sur, Taos, NM 87571-6070 Ph: (575) 758-7430 |
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 |