| Shauna Michelle Mccosh, CFNP, CNM | |
|
3201 N Ridge Loop Dr, Silver City, NM 88061-7243 | |
| (575) 388-4251 | |
| (575) 388-4514 |
| Full Name | Shauna Michelle Mccosh |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 3201 N Ridge Loop Dr, Silver City, 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 |
|---|---|---|---|
| 1376718627 | NPI | - | NPPES |
| 000S6635 | Medicaid | NM | |
| QMP000004444002 | Other | MOLINA ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367A00000X | Advanced Practice Midwife | 588 (New Mexico) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | CNP01356 (New Mexico) | Primary |
| Entity Name | Southwest Wellness |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295158954 PECOS PAC ID: 9133344393 Enrollment ID: O20140701001177 |
| Entity Name | Innova Emergency Medical Associates Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295178978 PECOS PAC ID: 2860633435 Enrollment ID: O20141215001705 |
| Mailing Address | Practice Location Address |
|---|---|
| Shauna Michelle Mccosh, CFNP, CNM 3201 N Ridge Loop Dr, Silver City, NM 88061-7243 Ph: (575) 574-7911 | Shauna Michelle Mccosh, CFNP, CNM 3201 N Ridge Loop Dr, Silver City, NM 88061-7243 Ph: (575) 388-4251 |
Anita C Gallardo, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 114 W 11th St, Silver City, NM 88061 Phone: 575-388-1511 Fax: 575-313-8234 | |
Lacy Ann Rodriguez, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 114 W 11th St, Silver City, NM 88061 Phone: 575-388-1511 | |
Denise Edith Galaz, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2600 N Silver St, Silver City, NM 88061 Phone: 575-388-1889 Fax: 575-388-9952 | |
Dr. Kyia Mountain, DNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1600 E 32nd St, Silver City, NM 88061 Phone: 575-538-2981 | |
Karen Degenevieve, CFNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1313 E 32nd St, Silver City, NM 88061 Phone: 575-538-4009 Fax: 575-538-4003 | |
Gabrielle Nichole Allsup, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1618 E Pine St, Silver City, NM 88061 Phone: 575-388-1561 Fax: 575-388-9952 | |
Christina Racquel Solberg, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 209 Highway 180 W, Silver City, NM 88061 Phone: 575-590-1496 |