| Sievers Sports Medicine Inc | |
|
304 S Main Ave Portales NM 88130-6218 | |
| (575) 226-3023 | |
| (575) 226-3024 |
| Full Name | Sievers Sports Medicine Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 304 S Main Ave, Portales, New Mexico |
| Authorized Official Name and Position | Joel William Sievers (PRESIDENT/DIRECTOR) |
| Authorized Official Contact | 5752263023 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sievers Sports Medicine Inc Po Box 55 Portales NM 88130-0055 Ph: (575) 226-3023 | Sievers Sports Medicine Inc 304 S Main Ave Portales NM 88130-6218 Ph: (575) 226-3023 |
| NPI Number | 1366631616 |
|---|---|
| Provider Enumeration Date | 10/22/2007 |
| Last Update Date | 03/12/2008 |
| Medicare PECOS PAC ID | 8628156213 |
|---|---|
| Medicare Enrollment ID | O20080423000033 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366631616 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QS0010X | Family Medicine - Sports Medicine | 2002-0109 (New Mexico) | Primary |
| Provider Name | Joel W Sievers |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538103197 PECOS PAC ID: 8123929387 Enrollment ID: I20040120000345 |
| Provider Name | Brenda Lee Fuselier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447899463 PECOS PAC ID: 2961820733 Enrollment ID: I20200910000739 |
Enmu Sports Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1500 S Avenue K, Portales, NM 88130 Phone: 972-367-4845 Fax: 972-367-3451 | |
Rgh Internal Medicine Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 42121 Us Hwy 70, Portales, NM 88130 Phone: 575-359-1800 Fax: 575-356-9200 | |
Eastern Medical Associates Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 42121 Us Hwy 70, Portales, NM 88130 Phone: 575-356-6652 Fax: 575-359-6827 | |
Portales Quick Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 421 S Ave C, Ste D, Portales, NM 88130 Phone: 575-226-2273 Fax: 575-226-2378 | |
Portales Medical Clinic Limited Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 320 S Avenue A, Portales, NM 88130 Phone: 505-356-4643 Fax: 505-359-6856 | |
La Casa Family Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1515 W Fir, Portales, NM 88130 Phone: 505-356-6695 Fax: 505-356-5948 |