Kewa Pueblo Health Corporation is a
Optometrist based in Santo Domingo, New Mexico. Kewa Pueblo Health Corporation is licensed to practice in * (Not Available) (license number ) and their current practice location is
85 W Highway 22, Santo Domingo, New Mexico. It can be reached at their office (for appointments etc.) via phone at
(505) 465-3060.
NPI number for Kewa Pueblo Health Corporation is 1467739615 and their current mailing address is Po Box 559, Santo Domingo Pueblo, New Mexico. Kewa Pueblo Health Corporation
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1467739615.
Healthcare Provider's Profile
Full Name | Kewa Pueblo Health Corporation |
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Type | Facility |
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Speciality | Optometrist |
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Location | 85 W Highway 22, Santo Domingo, New Mexico |
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Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
NPI Data:
- NPI Number: 1467739615
- Provider Enumeration Date: 11/15/2011
- Last Update Date: 11/15/2011
Medical Identifiers
Medical identifiers for Kewa Pueblo Health Corporation such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1467739615 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
152W00000X | Optometrist | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kewa Pueblo Health Corporation is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Kewa Pueblo Health Corporation Po Box 559, Santo Domingo Pueblo, NM 87052-0559 Ph: (505) 465-3060 | Kewa Pueblo Health Corporation 85 W Highway 22, Santo Domingo, NM 87052-0340 Ph: (505) 465-3060 |
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