Individual ProviderJorge SedasInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address4010 Montgomery Blvd NE, Albuquerque, NM 87109-1186(505) 254-6100PECOS EnrollmentBased on the most recent information from CMS, provider Jorge Sedas is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 5 days ago.Profile DetailsProvider ID1710910203Provider TypeIndividualFull NameSedas, JorgeCredentialMDGenderMaleSole ProprietorNoEnumeration Date7/8/2006Last Updated4/10/2024Contact InformationPractice LocationPractice Address4010 Montgomery Blvd NE, Albuquerque, NM 87109-1186Phone(505) 254-6100Fax(505) 262-7829Mailing LocationMailing AddressPO Box 26028, Albuquerque, NM 87125-6028PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicense83-293New MexicoProvider IdentifiersIDDescriptionIssuerID34468DescriptionMedicaidIssuerUnlistedNew Mexico