| Taos Whole Health Integrative Care, Llc | |
|
1331 Maestas Rd Taos NM 87571-6268 | |
| (575) 776-7806 | |
| (575) 224-3348 |
| Full Name | Taos Whole Health Integrative Care, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 1331 Maestas Rd, Taos, New Mexico |
| Authorized Official Name and Position | Lilly-marie Maita Blecher (CO-OWNER) |
| Authorized Official Contact | 5757767806 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Taos Whole Health Integrative Care, Llc 1331 Maestas Rd Taos NM 87571-6268 Ph: (575) 776-7806 | Taos Whole Health Integrative Care, Llc 1331 Maestas Rd Taos NM 87571-6268 Ph: (575) 776-7806 |
| NPI Number | 1356879027 |
|---|---|
| Provider Enumeration Date | 05/25/2017 |
| Last Update Date | 01/24/2023 |
| Medicare PECOS PAC ID | 0446523997 |
|---|---|
| Medicare Enrollment ID | O20170905000675 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356879027 | NPI | - | NPPES |
| 21039364 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MD2011-0528 (New Mexico) | Primary |
| Provider Name | William Dougherty |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1497842512 PECOS PAC ID: 3870559370 Enrollment ID: I20110217000343 |
| Provider Name | Joanna J Hooper |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275780140 PECOS PAC ID: 3577737972 Enrollment ID: I20111121000941 |
| Provider Name | Alana Benjamin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457557878 PECOS PAC ID: 1355467572 Enrollment ID: I20140108001027 |
| Provider Name | Elizabeth Jamie Sampere |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881255099 PECOS PAC ID: 9830583574 Enrollment ID: I20220223001918 |
| Provider Name | Allie Taylor Gilbert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255830758 PECOS PAC ID: 1951650860 Enrollment ID: I20230905001753 |
El Centro Family Health Taos Ms Sbhc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 235 Paseo Del Canon E, Taos, NM 87571 Phone: 575-751-8032 Fax: 575-758-7088 | |
El Centro Family Health Taos Hs Sbhc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 134 Cervantes St, Taos, NM 87571 Phone: 575-751-8032 Fax: 505-753-7218 | |
Taos Health Systems Primary Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1329 Gusdorf Rd, Taos, NM 87571 Phone: 575-737-3415 Fax: 575-737-3416 | |
Family Practice Associates Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 630 Paseo Del Pueblo Sur, Taos, NM 87571 Phone: 505-758-3005 | |
White Crane Clinic, P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1332 Gusdorf Rd, Ste. E, Taos, NM 87571 Phone: 505-758-2700 Fax: 505-758-2700 | |
Taos Picuris Health Ctr Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1090 Goat Springs Road, Taos, NM 87571 Phone: 575-758-6978 Fax: 575-751-5211 |