| Beewell Medical Center | |
|
4201 Carlisle Blvd Ne # C Albuquerque NM 87107-4808 | |
| (505) 544-2366 | |
| (505) 581-6988 |
| Full Name | Beewell Medical Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 4201 Carlisle Blvd Ne # C, Albuquerque, New Mexico |
| Authorized Official Name and Position | Kontasha Shamika Wise (CNP, PMHNP-BC) |
| Authorized Official Contact | 5055548315 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Beewell Medical Center 8226 Menaul Blvd Ne # 144 Albuquerque NM 87110-4614 Ph: (505) 544-2366 | Beewell Medical Center 4201 Carlisle Blvd Ne # C Albuquerque NM 87107-4808 Ph: (505) 544-2366 |
| NPI Number | 1033706924 |
|---|---|
| Provider Enumeration Date | 12/25/2020 |
| Last Update Date | 07/17/2025 |
| Medicare PECOS PAC ID | 1557774791 |
|---|---|
| Medicare Enrollment ID | O20210108000509 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033706924 | NPI | - | NPPES |
| 06929753 | Medicaid | NM |
| Provider Name | Kontasha Shamika Wise |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679850044 PECOS PAC ID: 5395906960 Enrollment ID: I20171206001432 |
Double Happiness Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4104 Ponderosa Ave Ne, Albuquerque, NM 87110 Phone: 505-385-4127 Fax: 505-265-5041 | |
Ortega Wellness Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 7007 Jefferson St Ne Ste C, Albuquerque, NM 87109 Phone: 505-340-0406 Fax: 505-340-0405 | |
Albuquerque Internal Medicine Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4121 Montgomery Blvd Ne, Albuquerque, NM 87109 Phone: 505-314-0748 | |
Gabriella Good Md Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3015 Indian Farm Ln Nw, Albuquerque, NM 87107 Phone: 505-259-8694 Fax: 186-660-7177 | |
Hands On Health Care, P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3825 Eubank Blvd Ne Ste C, Albuquerque, NM 87111 Phone: 505-298-8020 | |
Maranllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10401 Montgomery Pkwy Ne, Albuquerque, NM 87111 Phone: 505-234-1040 Fax: 505-293-7183 | |
Lovelace Healthcare Center-rio Bravo Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 Rio Bravo Blvd Se, Albuquerque, NM 87105 Phone: 505-873-6400 Fax: 505-873-6403 |