| Vdex Diabetes | |
|
916 N White Sands Blvd Alamogordo NM 88310-6926 | |
| (575) 488-2720 | |
| (575) 488-2721 |
| Full Name | Vdex Diabetes |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 916 N White Sands Blvd, Alamogordo, New Mexico |
| Authorized Official Name and Position | Amber Bryant (EXECUTIVE ADMINISTRATOR) |
| Authorized Official Contact | 5754882720 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Vdex Diabetes Po Box 836 Alamogordo NM 88311-0836 Ph: (575) 488-2720 | Vdex Diabetes 916 N White Sands Blvd Alamogordo NM 88310-6926 Ph: (575) 488-2720 |
| NPI Number | 1972528891 |
|---|---|
| Provider Enumeration Date | 07/13/2006 |
| Last Update Date | 05/04/2022 |
| Medicare PECOS PAC ID | 6901702976 |
|---|---|
| Medicare Enrollment ID | O20031210000463 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972528891 | NPI | - | NPPES |
| 20559330 | Medicaid | NM | |
| NM007E60 | Other | NM | BCBS GROUP NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 98-288 (New Mexico) | Secondary |
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| 363L00000X | Nurse Practitioner | (* (Not Available)) | Primary |
| Provider Name | Gilberto Heredia |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649299942 PECOS PAC ID: 4880590850 Enrollment ID: I20051107000646 |
| Provider Name | Peter Brock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992298665 PECOS PAC ID: 5698009843 Enrollment ID: I20191227000362 |
| Provider Name | Claudia E Enriquez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356985170 PECOS PAC ID: 5991131674 Enrollment ID: I20200129002009 |
| Provider Name | Tara L Greenwood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215530217 PECOS PAC ID: 2769897206 Enrollment ID: I20210216001767 |
| Provider Name | Gretchen Olds |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528006095 PECOS PAC ID: 9133131782 Enrollment ID: I20220330000921 |
Desert Skies Family Practice Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1101 9th St Ste B, Alamogordo, NM 88310 Phone: 575-437-1113 Fax: 575-437-1777 | |
Simplicity Health Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 74 Forsyth Road, Alamogordo, NM 88310 Phone: 575-405-9453 | |
Alamogordo Clinic Ltd Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1410 Aspen Drive, Alamogordo, NM 88310 Phone: 505-437-7000 Fax: 505-434-6288 | |
Family Practice Of Alamogordo Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1909 Cuba Ave, Suite 4, Alamogordo, NM 88310 Phone: 575-443-6262 | |
Chandi Bankston, D.o. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1315 12th St, Alamogordo, NM 88310 Phone: 505-437-5716 Fax: 505-437-5733 | |
Advancednp Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1102 9th St, Alamogordo, NM 88310 Phone: 575-446-5333 | |
Michael S Mishkin Md Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1315 12th St, Alamogordo, NM 88310 Phone: 575-437-5716 |