| Mesa Family Practice Pc | |
|
2130a Farmington Ave Farmington NM 87401 | |
| (505) 325-2323 | |
| (505) 325-7172 |
| Full Name | Mesa Family Practice Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 2130a Farmington Ave, Farmington, New Mexico |
| Authorized Official Name and Position | Matthew Dekay (OWNER CEO) |
| Authorized Official Contact | 5053252323 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mesa Family Practice Pc 2130a Farmington Ave Farmington NM 87401 Ph: (505) 325-2323 | Mesa Family Practice Pc 2130a Farmington Ave Farmington NM 87401 Ph: (505) 325-2323 |
| NPI Number | 1881714632 |
|---|---|
| Provider Enumeration Date | 03/29/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 1153312970 |
|---|---|
| Medicare Enrollment ID | O20040520001004 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881714632 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 95222 (New Mexico) | Primary |
| Provider Name | Matthew T Dekay |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053388058 PECOS PAC ID: 9931190766 Enrollment ID: I20041022000154 |
| Provider Name | Daniel J Sabol |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1740376177 PECOS PAC ID: 4587608815 Enrollment ID: I20050817000697 |
| Provider Name | Laura S Jaquez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699790881 PECOS PAC ID: 4284892100 Enrollment ID: I20120223000737 |
Presbyterian Medical Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1001 W Broadway, Farmington, NM 87401 Phone: 505-327-4796 | |
Marie Rousseau Md Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 804 E Navajo St, Farmington, NM 87401 Phone: 505-327-5336 Fax: 505-326-9120 | |
Fchc Substance Abuse Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 744 W Animas St, Farmington, NM 87401 Phone: 505-327-4796 Fax: 505-325-9113 | |
Advanced Gastroenterology Associates Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4801 N Butler Ave, Suite 13102, Farmington, NM 87401 Phone: 505-436-2906 Fax: 505-436-2197 | |
Health Center Family Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1601 E 20th St, Farmington, NM 87401 Phone: 505-564-3628 Fax: 505-325-9228 | |
Sjrmc Internal Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 407 S. Schwartz Ave, Suite 201, Farmington, NM 87401 Phone: 505-609-6730 Fax: 505-609-6749 | |
Michael Gruber M D Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 903 W Apache St, Farmington, NM 87401 Phone: 505-326-5282 |