| Mountain View Family Medicine Llc | |
|
4600 Montgomery Blvd Ne Ste D201 Albuquerque NM 87109-1211 | |
| (505) 610-1155 | |
| Not Available |
| Full Name | Mountain View Family Medicine Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 4600 Montgomery Blvd Ne Ste D201, Albuquerque, New Mexico |
| Authorized Official Name and Position | Matthew David Totter (OWNER) |
| Authorized Official Contact | 5058840079 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mountain View Family Medicine Llc 703 Charles Pl Nw Los Ranchos NM 87107-6224 Ph: (505) 297-7759 | Mountain View Family Medicine Llc 4600 Montgomery Blvd Ne Ste D201 Albuquerque NM 87109-1211 Ph: (505) 610-1155 |
| NPI Number | 1134790462 |
|---|---|
| Provider Enumeration Date | 07/07/2021 |
| Last Update Date | 12/28/2021 |
| Medicare PECOS PAC ID | 2466850094 |
|---|---|
| Medicare Enrollment ID | O20211012000786 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134790462 | NPI | - | NPPES |
| 1932430501 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Matthew David Totter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396224390 PECOS PAC ID: 4688928252 Enrollment ID: I20181117000079 |
| Provider Name | Amanda Brazier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104520683 PECOS PAC ID: 7719348895 Enrollment ID: I20230806000054 |
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