| G & M Medical Center Llc | |
|
1316 Jackie Rd Se Ste 500 Rio Rancho NM 87124-6618 | |
| (505) 415-0719 | |
| (505) 214-5190 |
| Full Name | G & M Medical Center Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 1316 Jackie Rd Se Ste 500, Rio Rancho, New Mexico |
| Authorized Official Name and Position | Ronald Mark Edwards (CEO/OWNER) |
| Authorized Official Contact | 5054150719 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| G & M Medical Center Llc 1316 Jackie Rd Se Ste 500 Rio Rancho NM 87124-6618 Ph: (505) 415-0719 | G & M Medical Center Llc 1316 Jackie Rd Se Ste 500 Rio Rancho NM 87124-6618 Ph: (505) 415-0719 |
| NPI Number | 1821598830 |
|---|---|
| Provider Enumeration Date | 02/16/2018 |
| Last Update Date | 05/07/2022 |
| Medicare PECOS PAC ID | 8527323526 |
|---|---|
| Medicare Enrollment ID | O20180522001612 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821598830 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | CNP-03224 (New Mexico) | Primary |
| Provider Name | Ronald M Edwards |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790200392 PECOS PAC ID: 6002180379 Enrollment ID: I20170926000503 |
| Provider Name | Heather Todd Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710749072 PECOS PAC ID: 5193164366 Enrollment ID: I20240419003514 |
| Provider Name | Kristin Deanna Pantea |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376377424 PECOS PAC ID: 0345613733 Enrollment ID: I20241021004376 |
| Provider Name | Dorothy Marie Godina |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649087206 PECOS PAC ID: 9931620077 Enrollment ID: I20250305003854 |
Westside Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1316 Jackie Rd Se Ste 900, Rio Rancho, NM 87124 Phone: 505-892-7518 Fax: 505-892-9092 | |
Patricia Conkling Cnp Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4200 Meadowlark Ln Se, Suite 2, Rio Rancho, NM 87124 Phone: 505-981-9990 Fax: 505-891-9007 | |
Olive Tree Pharmacy, Co. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1920 Westside Blvd Se Ste B, Rio Rancho, NM 87124 Phone: 505-738-3328 | |
Corazon Family Health Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2220 Grande Blvd Se, Suite A, Rio Rancho, NM 87124 Phone: 505-892-9800 Fax: 505-994-4524 | |
Zia Therapy And Pain Relief Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1520 Deborah Rd Se Ste K, Rio Rancho, NM 87124 Phone: 978-618-7500 | |
Lovelace Unm Rehabilitation Hospital, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 111 Rio Rancho Blvd Se, Rio Rancho, NM 87124 Phone: 505-727-4950 Fax: 505-727-9139 | |
I Am Wellness, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2345 Southern Blvd Se Ste B11, Rio Rancho, NM 87124 Phone: 505-524-0710 Fax: 505-524-0715 |