| Dr Yilma Kebede Kebelo, MD, DPM | |
|
2421 W 21st St Ste B, Clovis, NM 88101-2006 | |
| (575) 769-7577 | |
| Not Available |
| Full Name | Dr Yilma Kebede Kebelo |
|---|---|
| Gender | Male |
| Speciality | Podiatrist - Foot & Ankle Surgery |
| Location | 2421 W 21st St Ste B, Clovis, 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 |
|---|---|---|---|
| 1306334644 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | POD2024-0010 (New Mexico) | Primary |
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | E5786 (California) | Secondary |
| Provider Name | Hazel Hawkins Memorial Hospital |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1275578817 PECOS PAC ID: 9133038326 Enrollment ID: O20040401001521 |
| Provider Name | Foot Ankle & Lower Leg Specialists |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1912645250 PECOS PAC ID: 7810377736 Enrollment ID: O20220708001803 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Yilma Kebede Kebelo, MD, DPM Po Box 26666, Albuquerque, NM 87125-6666 Ph: (505) 923-5361 | Dr Yilma Kebede Kebelo, MD, DPM 2421 W 21st St Ste B, Clovis, NM 88101-2006 Ph: (575) 769-7577 |
Dr. Devin Dean Wahlen, D.P.M. Podiatrist Medicare: May Accept Medicare Assignments Practice Location: 1820 W 21st St, Clovis, NM 88101 Phone: 208-351-4559 | |
Eastern New Mexico Foot & Ankle, Pc Podiatrist Medicare: Medicare Enrolled Practice Location: 1820 W 21st St, Clovis, NM 88101 Phone: 208-351-4559 | |
Mr. Steven T. Naggs, D.P.M. Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 1937 W 21st St, Clovis, NM 88101 Phone: 505-762-5045 Fax: 505-762-5242 |