| Serenity Inc | |
|
421 Saint Michaels Dr Santa Fe NM 87505-7601 | |
| (505) 983-9878 | |
| (505) 992-0323 |
| Full Name | Serenity Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 421 Saint Michaels Dr, Santa Fe, New Mexico |
| Authorized Official Name and Position | Kurt D Kastendieck (PRESIDENT) |
| Authorized Official Contact | 5059923334 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Serenity Inc 421 Saint Michaels Dr Santa Fe NM 87505-7601 Ph: (505) 983-9878 | Serenity Inc 421 Saint Michaels Dr Santa Fe NM 87505-7601 Ph: (505) 983-9878 |
| NPI Number | 1730300252 |
|---|---|
| Provider Enumeration Date | 05/01/2007 |
| Last Update Date | 03/09/2017 |
| Medicare PECOS PAC ID | 6800987637 |
|---|---|
| Medicare Enrollment ID | O20070809000071 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730300252 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 2001-52 (New Mexico) | Primary |
| Provider Name | Ronald Press |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841365731 PECOS PAC ID: 0042208316 Enrollment ID: I20040505000090 |
| Provider Name | Kurt D Kastendieck |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003804923 PECOS PAC ID: 2264523091 Enrollment ID: I20070809000089 |
| Provider Name | Marcie Lichtenstein |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538532312 PECOS PAC ID: 3678870698 Enrollment ID: I20160318000396 |
| Provider Name | Karla A Moya-crites |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649742966 PECOS PAC ID: 0143653188 Enrollment ID: I20191205002597 |
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