| Ms Carmen Caterina Marcolina, CNP | |
|
104 Quail Trl Ste B, Edgewood, NM 87015-7197 | |
| (505) 208-0211 | |
| Not Available |
| Full Name | Ms Carmen Caterina Marcolina |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Location | 104 Quail Trl Ste B, Edgewood, 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 |
|---|---|---|---|
| 1730720632 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 57848 (New Mexico) | Primary |
| Entity Name | Omni Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568768042 PECOS PAC ID: 6709049745 Enrollment ID: O20120531000416 |
| Entity Name | Elite Patient Care New Mexico Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598352015 PECOS PAC ID: 9335553197 Enrollment ID: O20210208000410 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Carmen Caterina Marcolina, CNP 104 Quail Trl Ste B, Edgewood, NM 87015-7197 Ph: (505) 208-0211 | Ms Carmen Caterina Marcolina, CNP 104 Quail Trl Ste B, Edgewood, NM 87015-7197 Ph: (505) 208-0211 |
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 |