Charleen M Yellow Kidney, is a medicare enrolled "Social Worker - Clinical" provider in Placitas, New Mexico. Her current practice location is
11 Valle Escondido, Placitas, New Mexico. You can reach out to her office (for appointments etc.) via phone at
(505) 554-6888.
Charleen M Yellow Kidney is licensed to practice in New Mexico (license number C-09957) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1679891600.
Healthcare Provider's Profile
Full Name | Charleen M Yellow Kidney |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 11 Valle Escondido, Placitas, New Mexico |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1679891600
- Provider Enumeration Date: 05/14/2010
- Last Update Date: 02/02/2022
Medicare PECOS Information:
- PECOS PAC ID: 0840608097
- Enrollment ID: I20210428000589
Medical Identifiers
Medical identifiers for Charleen M Yellow Kidney such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1679891600 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | C-09957 (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. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Charleen M Yellow Kidney allows following entities to bill medicare on her behalf.
Entity Name | Haven Behavioral Services Of Albuquerque Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1093079303 PECOS PAC ID: 0042466054 Enrollment ID: O20130619000106 |
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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. Charleen M Yellow Kidney 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 |
Charleen M Yellow Kidney, 12804 Skyline Rd Ne, Albuquerque, NM 87123-3056 Ph: (505) 554-6888 | Charleen M Yellow Kidney, 11 Valle Escondido, Placitas, NM 87043-8845 Ph: (505) 554-6888 |
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