| Douglas Ivan Ludington, NP | |
|
104 Quail Trail, Unit B, Edgewood, NM 87015 | |
| (505) 208-0204 | |
| Not Available |
| Full Name | Douglas Ivan Ludington |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 9 Years |
| Location | 104 Quail Trail, Edgewood, 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 |
|---|---|---|---|
| 1982113445 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | CNP-03395 (New Mexico) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mcleod Medical Centers Of Nm Inc | 5092075531 | 43 |
| Entity Name | Albuquerque Urgent Care Walk In Clinic Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487167961 PECOS PAC ID: 4880953165 Enrollment ID: O20180111002515 |
| 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 |
|---|---|
| Douglas Ivan Ludington, NP 12127b Hwy 14 N, Ste 5, Cedar Crest, NM 87008-9499 Ph: (505) 281-5180 | Douglas Ivan Ludington, NP 104 Quail Trail, Unit B, Edgewood, NM 87015 Ph: (505) 208-0204 |
Nathan Duane Cogburn, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7 Municipal Way, Edgewood, NM 87015 Phone: 505-281-3406 | |
Vivienne Prinz, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 104 Quail Trl, Unit B, Edgewood, NM 87015 Phone: 505-208-0204 | |
Thu Thanh Nguyen, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 104 Quail Trail, Unit B, Edgewood, NM 87015 Phone: 505-208-0204 Fax: 505-717-2884 | |
Mary Ann Crow, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 104 Quail Trl, Edgewood, NM 87015 Phone: 505-208-0204 | |
Tracy J. Graff, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7 Municipal Way, Edgewood, NM 87015 Phone: -- | |
Cierra Dorado, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 104 Quail Trl, Edgewood, NM 87015 Phone: 505-208-0204 | |
Chelsey Ann Weinbrecht, AGACNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 143 Square H Rd, Edgewood, NM 87015 Phone: 505-363-1884 |