Clay Church, NP in Farmington, NM - Medicare Nurse Practitioner

Clay Church, NP is a medicare enrolled "Nurse Practitioner - Family" in Farmington, New Mexico. He graduated from nursing school in 2019 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Total Healthcare and his current practice location is 801 W Maple St, Farmington, New Mexico. You can reach out to his office (for appointments etc.) via phone at (505) 609-2000.

Clay Church is licensed to practice in New Mexico (license number 57227) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1083264592.

Contact Information

	Clay Church, NP
	801 W Maple St, Farmington, NM 87401-5630
	(505) 609-2000
	Not Available

Map and Direction

Provider's Profile

Full Name	Clay Church
Gender	Male
Speciality	Nurse Practitioner
Experience	5 Years
Location	801 W Maple St, Farmington, New Mexico
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Clay Church graduated from nursing school in 2019

NPI Data:

NPI Number: 1083264592
Provider Enumeration Date: 09/17/2019
Last Update Date: 09/17/2019

Medicare PECOS Information:

PECOS PAC ID: 6103254586
Enrollment ID: I20230419002612

Medical Identifiers

Medical identifiers for Clay Church such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1083264592	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	57227 (New Mexico)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Mercy Regional Medical Center	Durango, CO	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Total Healthcare	1052214814	27

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Clay Church allows following entities to bill medicare on his behalf.

Entity Name	Total Healthcare
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1669420410 PECOS PAC ID: 1052214814 Enrollment ID: O20040129000282

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Clay Church is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Clay Church, NP Po Box 6210, Farmington, NM 87499-6210 Ph: (505) 609-2258	Clay Church, NP 801 W Maple St, Farmington, NM 87401-5630 Ph: (505) 609-2000

Reviews and Comments

Nurse Practitioner Nurses in Farmington, NM

Erin Tinker, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 407 S Schwartz Ave Ste 102, Farmington, NM 87401 Phone: 505-609-6700 Fax: 505-609-6700
Jennifer Lizabeth Manganello, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 407 S Schwartz Ave, Suite 101, Farmington, NM 87401 Phone: 505-609-6770 Fax: 505-609-6775
Anariza Grush, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1001 W Broadway, Farmington, NM 87401 Phone: 505-327-4796
Bethany Lynn Jones, AGPNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1001 W Broadway, Farmington, NM 87401 Phone: 505-327-4796 Fax: 505-599-9351
Jovite A Larroy, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1001 W Broadway Ste E, Farmington, NM 87401 Phone: 505-327-4796
Ms. Mois A Johnson, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 203 W Main St, Farmington, NM 87401 Phone: 505-517-4181 Fax: 505-333-0444

Clay Church, NP - Medicare Nurse Practitioner in Farmington, NM