| Bruce A Andersen, DPM | |
|
109 Railroad Ave, Las Vegas, NM 87701 | |
| (505) 425-9491 | |
| (505) 454-8171 |
| Full Name | Bruce A Andersen |
|---|---|
| Gender | Male |
| Speciality | Podiatrist |
| Location | 109 Railroad Ave, Las Vegas, 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 |
|---|---|---|---|
| 1609960699 | NPI | - | NPPES |
| 005351 | Other | BCBS | |
| 10478 | Other | PRESBYTERIAN HP |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213E00000X | Podiatrist | 163 (New Mexico) | Primary |
| Provider Name | State Of New Mexico |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1992867998 PECOS PAC ID: 2062412869 Enrollment ID: O20091021000191 |
| Mailing Address | Practice Location Address |
|---|---|
| Bruce A Andersen, DPM 109 Railroad Ave, Las Vegas, NM 87701 Ph: (505) 425-9491 | Bruce A Andersen, DPM 109 Railroad Ave, Las Vegas, NM 87701 Ph: (505) 425-9491 |
Julien Adicho, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1608 7th St Ste B, Las Vegas, NM 87701 Phone: 718-963-7332 | |
Lindsy Laura Kragt Allen, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1608 7th St, Las Vegas, NM 87701 Phone: 505-395-9575 Fax: 505-466-5166 | |
Las Vegas Foot Specialist, Inc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 109 Railroad Ave, Las Vegas, NM 87701 Phone: 505-425-9491 Fax: 505-454-8171 | |
Dr. Alexander Ramirez, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1608 7th St Ste B, Las Vegas, NM 87701 Phone: 505-425-3569 |