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Torre Donnchadh Near

Internal Medicine

Allopathic & Osteopathic Physicians

6701 Jefferson St NE, Albuquerque, NM 87109-4318

PECOS Enrollment

This provider is enrolled in PECOS as TORRE NEAR.

Based on the most recent information from CMS, provider Torre Donnchadh Near is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 6 days ago.

Profile Details

Provider ID
1770560336
Provider Type
Individual
Full Name
Near, Torre Donnchadh
Title
Dr.
Credential
M.D.

Gender
Female
Sole Proprietor
No
Enumeration Date
12/26/2005
Last Updated
4/17/2017

Contact Information

Practice Location

6701 Jefferson St NE, Albuquerque, NM 87109-4318

(505) 727-6200

(505) 727-9590

Mailing Location

6701 Jefferson St NE, Albuquerque, NM 87109-4318

(505) 727-6200

(505) 727-9590

Provider Taxonomies

Code	Description	License
Code 207R00000X Primary	Description Internal Medicine Allopathic & Osteopathic Physicians	License 87-270 New Mexico

Provider Identifiers

ID	Description	Issuer
ID 39545	Description Medicaid	Issuer Unlisted New Mexico
ID 04121007	Description Medicaid	Issuer Unlisted New Mexico

Torre Donnchadh Near

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

ID

Description

Issuer

Morrow, Patricia D

O'Connor, Kathy Jean

Sollins, Jeffrey S

Lagom Health Llc

Primary Care And Preventive Services, Pc

Presbyterian Healthcare Services

Castiglia, Clare A

Coquia, Michael A

Rodriguez, Edmee

Fancovic, Edward