| Genesis Eldercare Physician Services LLC | |
|
7900 Constitution Ave Ne Albuquerque NM 87110 | |
| (410) 769-7859 | |
| Not Available |
| Full Name | Genesis Eldercare Physician Services LLC |
|---|---|
| Speciality | Internal Medicine |
| Location | 7900 Constitution Ave Ne, Albuquerque, New Mexico |
| Authorized Official Name and Position | Eric Shapiro (VICE PRESIDENT) |
| Authorized Official Contact | 4108327790 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Genesis Eldercare Physician Services LLC Po Box 62946 Baltimore MD 21264-2946 Ph: (410) 494-7607 | Genesis Eldercare Physician Services LLC 7900 Constitution Ave Ne Albuquerque NM 87110 Ph: (410) 769-7859 |
| NPI Number | 1548615313 |
|---|---|
| Provider Enumeration Date | 04/29/2016 |
| Last Update Date | 08/05/2019 |
| Medicare PECOS PAC ID | 9830002534 |
|---|---|
| Medicare Enrollment ID | O20170619000933 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548615313 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | () | Primary |
| Provider Name | Julie Harrigan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619016656 PECOS PAC ID: 1658424866 Enrollment ID: I20090806000093 |
| Provider Name | Emily Rothman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124119698 PECOS PAC ID: 9234037086 Enrollment ID: I20100917000585 |
| Provider Name | Heidi Alterson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134521818 PECOS PAC ID: 3072837269 Enrollment ID: I20150116000963 |
| Provider Name | Ahmed a El-emawy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609212505 PECOS PAC ID: 4486888104 Enrollment ID: I20160928001082 |
| Provider Name | Jennifer Lynne Pantoja |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841782877 PECOS PAC ID: 5597011163 Enrollment ID: I20180712000493 |
| Provider Name | Anna Munoz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710452370 PECOS PAC ID: 2860737665 Enrollment ID: I20181226001071 |
| Provider Name | Autumn Lujan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740953686 PECOS PAC ID: 4880071505 Enrollment ID: I20220519000704 |
| Provider Name | Andres D Plaza |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245893445 PECOS PAC ID: 1153658125 Enrollment ID: I20220722000577 |
| Provider Name | Savanna Lee Noel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306570858 PECOS PAC ID: 6901272137 Enrollment ID: I20221013000642 |
| Provider Name | Bethany Henderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215233721 PECOS PAC ID: 6103299391 Enrollment ID: I20230309001332 |
| Provider Name | Lily Wray |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1417640301 PECOS PAC ID: 3173984275 Enrollment ID: I20230807000694 |
| Provider Name | Margarita Stella Turk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538849203 PECOS PAC ID: 8022462779 Enrollment ID: I20230928001977 |
| Provider Name | Cassandra Marie Edlund |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497408314 PECOS PAC ID: 0244689792 Enrollment ID: I20231211000246 |
| Provider Name | Carrie Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619678521 PECOS PAC ID: 1557705894 Enrollment ID: I20240214004385 |
| Provider Name | Victor Egwu Ekpe |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1700468873 PECOS PAC ID: 7315389723 Enrollment ID: I20240530000540 |
| Provider Name | Cecelia Harris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265140032 PECOS PAC ID: 9739550047 Enrollment ID: I20241002003707 |
| Provider Name | Karl Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730781451 PECOS PAC ID: 6507278561 Enrollment ID: I20250319002880 |
| Provider Name | Adam Andrew Clark |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1447986914 PECOS PAC ID: 9234637059 Enrollment ID: I20250811004131 |
| Provider Name | Jacqueline MD Cai |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134757628 PECOS PAC ID: 1456774553 Enrollment ID: I20250923003773 |
| Provider Name | Janice Nyamongo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669155123 PECOS PAC ID: 6204299761 Enrollment ID: I20251114001308 |
| Provider Name | Emily Jane Felicetti |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285591974 PECOS PAC ID: 6901383215 Enrollment ID: I20260116002152 |
| Provider Name | Teio Nabee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649138272 PECOS PAC ID: 6608358882 Enrollment ID: I20260305004070 |
| Provider Name | Mayelangela Linares Norwood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407786247 PECOS PAC ID: 2668944430 Enrollment ID: I20260611004808 |
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 |
Medicus 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 |