Individual ProviderEdward FancovicInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address7801 Academy Rd NE, Unm Family Health Clinics, Ne Heights, Albuquerque, NM 87109-3379(505) 272-2700(505) 272-3120PECOS EnrollmentBased on the most recent information from CMS, provider Edward Fancovic 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 ID1851307433Provider TypeIndividualFull NameFancovic, EdwardGenderMaleSole ProprietorNoEnumeration Date8/1/2006Last Updated1/4/2024Contact InformationPractice LocationPractice Address7801 Academy Rd NE, Unm Family Health Clinics, Ne Heights, Albuquerque, NM 87109-3379Phone(505) 272-2700Fax(505) 272-6308Mailing LocationMailing Address933 Bradbury Dr SE, Suite 2222, Albuquerque, NM 87106-4374Phone(505) 272-3120FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicense98-50New Mexico