| Omnisleep Llc | |
|
3810 Masthead St Ne Albuquerque NM 87109-4479 | |
| (505) 843-8758 | |
| (505) 843-9269 |
| Full Name | Omnisleep Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 3810 Masthead St Ne, Albuquerque, New Mexico |
| Authorized Official Name and Position | John Craig Eaves (CEO) |
| Authorized Official Contact | 5058438758 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Omnisleep Llc 6500 Jefferson St Ne Suite 100 Albuquerque NM 87109-3489 Ph: (505) 843-8758 | Omnisleep Llc 3810 Masthead St Ne Albuquerque NM 87109-4479 Ph: (505) 843-8758 |
| NPI Number | 1508093469 |
|---|---|
| Provider Enumeration Date | 06/18/2009 |
| Last Update Date | 12/11/2018 |
| Medicare PECOS PAC ID | 1658303987 |
|---|---|
| Medicare Enrollment ID | O20091216000439 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508093469 | NPI | - | NPPES |
| 95877321 | Medicaid | NM | |
| 81323395 | Medicaid | NM |
| Provider Name | Lisa Cutchen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528005428 PECOS PAC ID: 3577625722 Enrollment ID: I20081222000449 |
| Provider Name | Francisco M Ralls |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1164491122 PECOS PAC ID: 8123006590 Enrollment ID: I20090824000665 |
| Provider Name | Caroline Benge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255708152 PECOS PAC ID: 2860702446 Enrollment ID: I20151111001093 |
| Provider Name | Aaron M Pierce |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1477842896 PECOS PAC ID: 2961623681 Enrollment ID: I20151228001110 |
| Provider Name | Christina M Haaland |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609141076 PECOS PAC ID: 7719116250 Enrollment ID: I20160804002601 |
| Provider Name | Margaret M Storey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063726594 PECOS PAC ID: 9830474857 Enrollment ID: I20170314000296 |
| Provider Name | Nicholas James Cutrufello |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1003182809 PECOS PAC ID: 6608000559 Enrollment ID: I20171213000115 |
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