Sdlt, Llc is a medicare enrolled "Nurse Practitioner - Primary Care" provider in Albuquerque, New Mexico. Their current practice location is
5800 Mcleod Rd Ne, Albuquerque, New Mexico. You can reach out to their office (for appointments etc.) via phone at
(505) 453-0958.
Sdlt, Llc is licensed to practice in New Mexico (license number CNP-02695) and it also participates in the medicare program. Sdlt, Llc
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1689190357.
Healthcare Provider's Profile
Full Name | Sdlt, Llc |
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Type | Facility |
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Speciality | Nurse Practitioner - Primary Care |
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Location | 5800 Mcleod Rd Ne, Albuquerque, New Mexico |
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Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1689190357
- Provider Enumeration Date: 08/15/2017
- Last Update Date: 03/07/2023
Medicare PECOS Information:
- PECOS PAC ID: 8426314642
- Enrollment ID: O20171103001856
Medical Identifiers
Medical identifiers for Sdlt, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1689190357 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
171100000X | Acupuncturist | 1198 (New Mexico) | Secondary |
363LP2300X | Nurse Practitioner - Primary Care | CNP-02695 (New Mexico) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Sdlt, Llc acts as a billing entity for following providers:
Provider Name | Tracy Lane Bradfield |
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Provider Type | Practitioner - Nurse Practitioner |
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Provider Identifiers | NPI Number: 1659747681 PECOS PAC ID: 0840556072 Enrollment ID: I20171106000097 |
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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. Sdlt, Llc 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 |
Sdlt, Llc 6704 Broadway Blvd Ne, Albuquerque, NM 87107-5911 Ph: (505) 453-0958 | Sdlt, Llc 5800 Mcleod Rd Ne, Albuquerque, NM 87109-2454 Ph: (505) 453-0958 |
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