Beba Milagros Perez Rodriguez, LCP | |
224 W D. L. Ingram Avenue, Bldg. 1408, Cannon Afb, NM 88103 | |
(575) 784-2778 | |
Not Available |
Full Name | Beba Milagros Perez Rodriguez |
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Gender | Female |
Speciality | Psychologist - Clinical |
Location | 224 W D. L. Ingram Avenue, Bldg. 1408, Cannon Afb, New Mexico |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1083290480 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | PSY-2024-0095 (New Mexico) | Secondary |
103TC0700X | Psychologist - Clinical | 2021004982 (Missouri) | Primary |
Entity Name | Presbyterian Healthcare Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1104802354 PECOS PAC ID: 9234041708 Enrollment ID: O20031103000603 |
Mailing Address | Practice Location Address |
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Beba Milagros Perez Rodriguez, LCP 224 W D. L. Ingram Avenue, Bldg. 1408, Cannon Afb, NM 88103 Ph: () - | Beba Milagros Perez Rodriguez, LCP 224 W D. L. Ingram Avenue, Bldg. 1408, Cannon Afb, NM 88103 Ph: (575) 784-2778 |
Dr. Andrea Theye, PSY. D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 27th Special Operations Medical Group, 224 W D. L. Ingram Avenue, Bldg. 1408, Cannon Afb, NM 88103 Phone: 575-784-1108 | |
Marcia Marie Middel, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 27th Special Operations Medical Group, 224 D. L. Ingram Ave Bld. 1408, Cannon Afb, NM 88103 Phone: 575-904-3951 | |
Dr. Rachel Elizabeth Wiley, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 27th Special Operations Medical Group, 224 W D. L. Ingram Avenue, Bldg. 1408, Cannon Afb, NM 88103 Phone: 575-784-1108 | |
Dr. June Ellen Shepherd, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: Mental Health Clinic, 27 Th Special Operations Group, 208 Casablanca, Cannon Afb, NM 88103 Phone: 575-784-1108 | |
Dr. Bryan W Bovitz, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 208 Casablanca Ave., 27 Sgomh, Cannon Afb, NM 88101 Phone: 575-784-1108 Fax: 575-784-4624 |