| High Desert Foot & Ankle Specialists, Llc | |
|
9412 Indian School Rd Ne, Albuquerque, NM 87112-2878 | |
| (505) 565-1155 | |
| (505) 565-1166 |
| Full Name | High Desert Foot & Ankle Specialists, Llc |
|---|---|
| Type | Facility |
| Speciality | Podiatrist - Foot & Ankle Surgery |
| Location | 9412 Indian School Rd Ne, Albuquerque, New Mexico |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356407027 | NPI | - | NPPES |
| 55003800 | Medicaid | NM | |
| 84001780 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | 279 (New Mexico) | Primary |
| Provider Name | Tommy G Roe |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1720077050 PECOS PAC ID: 3274427711 Enrollment ID: I20040217001046 |
| Mailing Address | Practice Location Address |
|---|---|
| High Desert Foot & Ankle Specialists, Llc Po Box 53056, Albuquerque, NM 87153-3056 Ph: (505) 565-1155 | High Desert Foot & Ankle Specialists, Llc 9412 Indian School Rd Ne, Albuquerque, NM 87112-2878 Ph: (505) 565-1155 |
Gay L Gustafson, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 7700 Menaul Blvd Ne, Ste D, Albuquerque, NM 87110 Phone: 505-299-4487 Fax: 505-299-4498 | |
Dr. Jay Patrick Lewis, DPM Podiatrist Medicare: Medicare Enrolled Practice Location: 8300 Constitution Ave Ne Bldg D, Albuquerque, NM 87110 Phone: 505-253-6100 | |
Shama Pervaiz, Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 8080 Academy Rd Ne Ste C, Albuquerque, NM 87111 Phone: 505-247-4164 | |
Dr. Diana Tran Park, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 1501 San Pedro Dr Se, Albuquerque, NM 87108 Phone: 832-613-7598 | |
Andy Ngoc Ho, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 6727 Academy Rd Ne Ste C, Albuquerque, NM 87109 Phone: 505-341-0070 | |
Dr. Jeremy Strange, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 5111 Juan Tabo Blvd Ne, Albuquerque, NM 87111 Phone: 505-271-9900 Fax: 505-271-0217 | |
Shanti Balkissoon-castillo, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 8300 Carmel Ave Ne Ste 501, Albuquerque, NM 87122 Phone: 505-717-1274 Fax: 505-717-1879 |