Tracy Wilkerson
SAN MIGUEL CLINIC CORP


Address: 108 Legion Dr, Suite A, Las Vegas, NM 87701-4898
Phone: 5054549499

Tracy Wilkerson (NPI# 1952517732, PAC ID# 2062605710) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OBSTETRICS/GYNECOLOGY.

Physician Overview

Nation Provider ID (NPI) 1952517732
PAC ID by PECOS 2062605710
Professional Enrollment ID I20180531001186
Full Name Tracy Wilkerson
Organization Legal Name SAN MIGUEL CLINIC CORP
Address 108 Legion Dr
Suite A
Las Vegas
NM 87701-4898
Phone Number 5054549499
Gender F
Graduation Year 2006
Primary Specialty OBSTETRICS/GYNECOLOGY
Group Practice PAC ID 1254226079
Number of Group Practice Members 8
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
320003 ALTA VISTA REGIONAL HOSPITAL

Other Locations

Address Phone Organization
108 Legion Dr, Suite A, Las Vegas, NM 87701-4898 5054549499 SAN MIGUEL CLINIC CORP

Organization Information

Organization Legal Name SAN MIGUEL CLINIC CORP
Physicians 8

Physicians with the same organization

Name Specialty Organization Address
Nancy J Wright Pediatric Medicine San Miguel Clinic Corp 501 7th St, Las Vegas, NM 87701-3993
Wietske Moore Nurse Practitioner San Miguel Clinic Corp 2515 Ridge Runner Rd, Las Vegas, NM 87701-4972
Chenthuran Deivaraju Orthopedic Surgery San Miguel Clinic Corp 104 Legion Dr, Suite 4, Las Vegas, NM 87701-4804
Raymond F Ortiz Internal Medicine San Miguel Clinic Corp 2515 Ridge Runner Rd, Las Vegas, NM 87701-4972
Franklin Miller Pulmonary Disease San Miguel Clinic Corp 2515 Ridge Runner Rd, Las Vegas, NM 87701-4972
Morgan E Schopen Certified Nurse Midwife San Miguel Clinic Corp 108 Legion Dr, Suite A, Las Vegas, NM 87701-4898
Carol A Kiesling Obstetrics/gynecology San Miguel Clinic Corp 108 Legion Dr, Suite A, Las Vegas, NM 87701-4898

Office Location

Street Address 108 LEGION DR
SUITE A
City LAS VEGAS
State NM
Zip 87701-4898

Physicians in the same location

Name Specialty Organization Address
Francis J Stoecker Certified Registered Nurse Anesthetist (crna) D.m.c. Hospitalist, P.C. 108 Legion Dr, Las Vegas, NM 87701-4893
Aiden M Orourke General Surgery Rural Surgical Associates of Las Vegas LLC 108 Legion Dr, Suite D, Las Vegas, NM 87701-4898
Krishna R Rajanna General Surgery Rural Surgical Associates of Las Vegas LLC 108 Legion Dr, Suite D, Las Vegas, NM 87701-4898
Robert A Coderre Certified Registered Nurse Anesthetist (crna) D.m.c. Hospitalist, P.C. 108 Legion Dr, Las Vegas, NM 87701-4893
Teddi Leah Denienne Swidinsky General Surgery Rural Surgical Associates of Las Vegas LLC 108 Legion Dr, Suite D, Las Vegas, NM 87701-4898
Laurie A Stein Certified Registered Nurse Anesthetist (crna) D.m.c. Hospitalist, P.C. 108 Legion Dr, Las Vegas, NM 87701-4893
Wendy Davis General Surgery Rural Surgical Associates of Las Vegas LLC 108 Legion Dr, Suite D, Las Vegas, NM 87701-4898
Mary E Search Certified Registered Nurse Anesthetist D.m.c. Hospitalist, P.C. 108 Legion Dr, Las Vegas, NM 87701-4893
Morgan E Schopen Certified Nurse Midwife San Miguel Clinic Corp 108 Legion Dr, Suite A, Las Vegas, NM 87701-4898
Carol A Kiesling Obstetrics/gynecology San Miguel Clinic Corp 108 Legion Dr, Suite A, Las Vegas, NM 87701-4898
Find all physicians in the same address

Physicians in the same zip code

Name Specialty Organization Address
Jasmin U Breitung Internal Medicine 2213 Hot Springs Blvd, Las Vegas, NM 87701-3449
Bruce A Andersen Podiatry 109 Railroad Ave, Las Vegas, NM 87701-3853
Nancy J Wright Pediatric Medicine San Miguel Clinic Corp 501 7th St, Las Vegas, NM 87701-3993
Leigh A Trivino Physician Assistant El Centro Family Health 901 Baca Ave, Las Vegas, NM 87701-4000
Michael L Mcfall Physical Therapy 2810 Hot Springs Blvd, Suite A, Las Vegas, NM 87701-4119
G. Michael Lopez Internal Medicine 105 Mills Ave, Suite 300, Las Vegas, NM 87701-4169
Louise M La Plante Clinical Social Worker 3001 Hot Springs Blvd, Suite C, Las Vegas, NM 87701-4175
Matthew D Probst Physician Assistant El Centro Family Health 1235 8th St, Las Vegas, NM 87701-4219
Michael J Lee Physician Assistant El Centro Family Health 1235 8th St, Las Vegas, NM 87701-4219
Laura Robinson Nurse Practitioner El Centro Family Health 1235 8th St, Las Vegas, NM 87701-4219
Find all physicians in zip 87701

Competitor

Search similar physicians

City LAS VEGAS
Zip Code 87701
Specialty OBSTETRICS/GYNECOLOGY
City + Specialty LAS VEGAS + OBSTETRICS/GYNECOLOGY

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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