| Javier Velasco, | |
|
117 E 19th St, Roswell, NM 88201-5151 | |
| (575) 627-7000 | |
| Not Available |
| Full Name | Javier Velasco |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 4 Years |
| Location | 117 E 19th St, Roswell, 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 |
|---|---|---|---|
| 1598476525 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 72015 (New Mexico) | Primary |
| 390200000X | Student In An Organized Health Care Education/training Program | (NU) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Lovelace Regional Hospital - Roswell | Roswell, NM | Hospital |
| Eastern New Mexico Medical Center | Roswell, NM | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Main Street Anesthesia Of New Mexico, Llc | 3476807538 | 228 |
| Entity Name | Main Street Anesthesia of New Mexico, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275010985 PECOS PAC ID: 3476807538 Enrollment ID: O20181108002622 |
| Mailing Address | Practice Location Address |
|---|---|
| Javier Velasco, 407 Hermosa Dr, Roswell, NM 88201-6536 Ph: (208) 569-4513 | Javier Velasco, 117 E 19th St, Roswell, NM 88201-5151 Ph: (575) 627-7000 |
Mr. Mark David Murley, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 117 E 19th St, Roswell, NM 88201 Phone: 575-624-2095 |
Michael S Berg, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 405 W Country Club Rd, Roswell, NM 88201 Phone: 505-622-8170 Fax: 505-624-8711 |
Christopher Mathew Lynn, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 405 W Country Club Rd, Roswell, NM 88201 Phone: 575-622-8170 |
Stefania Rok, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 405 W Country Club Rd, Roswell, NM 88201 Phone: 575-622-8170 |
Sheila M Fitzgerald, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 405 W Country Club Rd, Roswell, NM 88201 Phone: 575-622-8170 |
Joy Lee Lindgren, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 405 W Country Club Rd, Roswell, NM 88201 Phone: 505-622-8170 Fax: 505-624-8711 |
Levi Colter Black, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 117 E 19th St, Roswell, NM 88201 Phone: 814-877-2137 |