| Lori L Vernon, AA-C | |
|
1 University Of New Mexico, Albuquerque, NM 87131 | |
| (505) 272-2610 | |
| (505) 272-1300 |
| Full Name | Lori L Vernon |
|---|---|
| Gender | Female |
| Speciality | Anesthesiologist Assistant |
| Location | 1 University Of New Mexico, 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 |
|---|---|---|---|
| 1285783399 | NPI | - | NPPES |
| NM3000209 | Other | NM | MEDICARE PROVIDER NUMBER |
| 00591324I | Medicaid | GA | |
| 80971725 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367H00000X | Anesthesiologist Assistant | 003714 (Georgia) | Secondary |
| 367H00000X | Anesthesiologist Assistant | AA2007-001 (New Mexico) | Primary |
| Entity Name | Unm Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831218627 PECOS PAC ID: 4981795267 Enrollment ID: O20070801000589 |
| Mailing Address | Practice Location Address |
|---|---|
| Lori L Vernon, AA-C 933 Bradbury Se, Suite 2222, Albuquerque, NM 87106 Ph: (505) 272-3120 | Lori L Vernon, AA-C 1 University Of New Mexico, Albuquerque, NM 87131 Ph: (505) 272-2610 |
Allison Danielle Knox, CAA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 2211 Lomas Blvd Ne, Albuquerque, NM 87106 Phone: 505-272-3119 | |
Jana Marie Huang, Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 2211 Lomas Blvd Ne, Albuquerque, NM 87106 Phone: 505-272-2111 | |
Jordan Thomas Schmidt, CAA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 2211 Lomas Blvd Ne, Albuquerque, NM 87106 Phone: 505-272-2610 | |
Paul James Mondo, AA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 933 Bradbury Dr Se, Ste. 2222, Albuquerque, NM 87106 Phone: 505-272-8950 | |
Emilie Gail Libson, AA-C Anesthesiologist Assistant Medicare: Not Enrolled in Medicare Practice Location: 2211 Lomas Blvd Ne, Albuquerque, NM 87106 Phone: 505-272-3119 | |
Scott David Loberg, AA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 2211 Lomas Blvd Ne, Albuquerque, NM 87106 Phone: 505-272-2111 | |
Kimberly Ann Kopacz, AA-C Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 1 University Of New Mexico, Albuquerque, NM 87131 Phone: 505-272-2610 Fax: 505-272-1300 |