| Caroline Kingston Md Mph Family Practice Llc | |
|
460 Saint Michaels Dr 1204 Santa Fe NM 87505-7619 | |
| (505) 820-2562 | |
| (505) 986-0904 |
| Full Name | Caroline Kingston Md Mph Family Practice Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 460 Saint Michaels Dr, Santa Fe, New Mexico |
| Authorized Official Name and Position | Caroline Kingston (DR.) |
| Authorized Official Contact | 5058202562 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Caroline Kingston Md Mph Family Practice Llc 460 Saint Michaels Dr 1204 Santa Fe NM 87505-7619 Ph: (505) 820-2562 | Caroline Kingston Md Mph Family Practice Llc 460 Saint Michaels Dr 1204 Santa Fe NM 87505-7619 Ph: (505) 820-2562 |
| NPI Number | 1194966747 |
|---|---|
| Provider Enumeration Date | 03/11/2009 |
| Last Update Date | 12/23/2009 |
| Medicare PECOS PAC ID | 0143361998 |
|---|---|
| Medicare Enrollment ID | O20091231000113 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194966747 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 97-89 (New Mexico) | Primary |
| Provider Name | Caroline Kingston |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750489811 PECOS PAC ID: 8426199274 Enrollment ID: I20091231000102 |
| Provider Name | Michael Ryan Brison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942756630 PECOS PAC ID: 4082996228 Enrollment ID: I20170123001733 |
Presbyterian Medical Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2100 Yucca St, Santa Fe High School, Santa Fe, NM 87505 Phone: 505-467-2439 Fax: 505-467-2989 | |
Schaaf Enterprises Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 530a Harkle Rd, Santa Fe, NM 87505 Phone: 512-495-9015 | |
Santa Fe Imaging Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1640 Hospital Dr, Santa Fe, NM 87505 Phone: 505-983-9350 Fax: 505-955-8763 | |
Axces Health Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 531 Harkle Rd Ste B, Santa Fe, NM 87505 Phone: 505-207-8078 Fax: 505-207-8082 | |
Presbyterian Medical Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4851 Paseo Del Sol, Santa Fe, NM 87507 Phone: 505-467-1081 Fax: 505-954-1180 | |
William A. Leeson, M.d., P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1630 Hospital Dr Ste D, Santa Fe, NM 87505 Phone: 505-983-6774 Fax: 888-707-2979 | |
Presbyterian Medical Services Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2960 Rodeo Park Dr W, Santa Fe, NM 87505 Phone: 505-986-9633 Fax: 505-820-1209 |