| Mrs Leticia Medrano, FNP-C | |
|
115 E 23rd St, Roswell, NM 88201-6471 | |
| (575) 625-1292 | |
| (575) 624-4836 |
| Full Name | Mrs Leticia Medrano |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 9 Years |
| Location | 115 E 23rd St, Roswell, New Mexico |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023580073 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 54775 (New Mexico) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Lovelace Regional Hospital - Roswell | Roswell, NM | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Southwest Medical Associates, Llc | 7214831114 | 298 |
| La Casa De Buena Salud Inc | 9234032939 | 7 |
| Entity Name | Roswell Clinic Corp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649267618 PECOS PAC ID: 9436062759 Enrollment ID: O20031111000799 |
| Entity Name | Southwest Medical Associates, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164491072 PECOS PAC ID: 7214831114 Enrollment ID: O20031121000724 |
| Entity Name | La Casa De Buena Salud Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972603165 PECOS PAC ID: 9234032939 Enrollment ID: O20040129001141 |
| Entity Name | State Of New Mexico |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578730230 PECOS PAC ID: 1052210689 Enrollment ID: O20110118000115 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Leticia Medrano, FNP-C 115 E 23rd St, Roswell, NM 88201-6471 Ph: (575) 625-1292 | Mrs Leticia Medrano, FNP-C 115 E 23rd St, Roswell, NM 88201-6471 Ph: (575) 625-1292 |
Dr. Krasimir M Hristov, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 400 E College Blvd Ste E, Roswell, NM 88201 Phone: 575-623-3155 Fax: 915-587-6324 | |
Katherine M Thatcher, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 106 N Delaware Ave, Roswell, NM 88203 Phone: 575-973-8543 Fax: 575-578-1901 | |
Tonia Elizabeth Montoya, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1112 N Main St, Roswell, NM 88201 Phone: 575-627-4200 | |
Darla Gene Melton, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 300 W Country Club Rd Ste 230, Roswell, NM 88201 Phone: 575-622-1411 Fax: 575-624-5630 | |
Kafayat Olateju Popoola, PMHNP-BC Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 207 N Union Ave Ste E, Roswell, NM 88201 Phone: 575-363-3189 Fax: 575-363-3188 | |
Ms. Kimberly A Hansen, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 109 W Bland St, Roswell, NM 88203 Phone: 575-623-1303 Fax: 575-622-1303 |