MEDICARE: BECKI SUE HILL M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2085R0001X	Radiation Oncology Physician	MD062281L	PA
2	2085R0001X	Radiation Oncology Physician	21017	WV
3	2085R0001X	Radiation Oncology Physician	38627	KY
4	2085R0001X	Radiation Oncology Physician	MD2014-0053	NM

General Provider Information

NPI Number	:	1720059918
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BECKI SUE HILL M.D.

Provider Business Mailing Address
First Line	:	2428 W PIERCE ST
Second Line	:	SUITE 102
City	:	CARLSBAD
State	:	NM
Zip	:	88220-3512
Country	:	US
Telephone Number	:	575-887-0272
Fax Number	:

Provider Business Practice Location Address
First Line	:	2428 W PIERCE ST
Second Line	:	SUITE 102
City	:	CARLSBAD
State	:	NM
Zip	:	88220-3512
Country	:	US
Telephone Number	:	575-887-0272
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/27/2006
Last Update Date	:	03/25/2022

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