| Sean Portman, PA | |
|
6330 Riverside Plaza Ln Nw Ste 100, Albuquerque, NM 87120-2682 | |
| (505) 322-6687 | |
| (505) 369-3406 |
| Full Name | Sean Portman |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 10 Years |
| Location | 6330 Riverside Plaza Ln Nw Ste 100, Albuquerque, 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 |
|---|---|---|---|
| 1245788603 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | PA2016-0050 (New Mexico) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Carlos J Esparza Md Pc | 6608843701 | 2 |
| Entity Name | Carlos J Esparza MD PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366469314 PECOS PAC ID: 6608843701 Enrollment ID: O20040916000443 |
| Mailing Address | Practice Location Address |
|---|---|
| Sean Portman, PA 3846 Masthead St Ne, Albuquerque, NM 87109-4479 Ph: (505) 242-1711 | Sean Portman, PA 6330 Riverside Plaza Ln Nw Ste 100, Albuquerque, NM 87120-2682 Ph: (505) 322-6687 |
Audra Dawn Clemens, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1100 Central Ave Se, Albuquerque, NM 87106 Phone: 505-724-6124 Fax: 505-724-6125 |
Jessica Rose Aragon, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 5904 Holly Ave Ne, Albuquerque, NM 87113 Phone: 505-298-2505 |
Elise Nicole Pedigo, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 630 Haines Ave Nw, Albuquerque, NM 87102 Phone: 505-268-5611 Fax: 505-268-5736 |
Samantha Travierso, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1501 San Pedro Dr Se, Albuquerque, NM 87108 Phone: 505-265-1711 |
Mrs. Danielle Kimberly Mccarthy, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 8301 Spain Rd Ne, Albuquerque, NM 87109 Phone: 505-821-6663 |
Ms. Lauren Soules, P.A.-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3615 Highway 528 Nw, Albuquerque, NM 87114 Phone: 505-248-1518 |
Jennifer Lynn Otis, Physician Assistant Medicare: Medicare Enrolled Practice Location: 3741 Rutledge Rd Ne, Albuquerque, NM 87109 Phone: 505-798-9300 Fax: 505-798-0808 |