Kristi Coddington, LCSW is a medicare enrolled "Counselor - Mental Health" provider in Bloomfield, New Mexico. Her current practice location is
100 N Church St Ste B, Bloomfield, New Mexico. You can reach out to her office (for appointments etc.) via phone at
(505) 333-7219.
Kristi Coddington is licensed to practice in New Mexico (license number X-11109) 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 1043865496.
Healthcare Provider's Profile
| Full Name | Kristi Coddington |
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| Gender | Female |
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| Speciality | Counselor - Mental Health |
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| Location | 100 N Church St Ste B, Bloomfield, 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: 1043865496
- Provider Enumeration Date: 08/02/2019
- Last Update Date: 01/08/2021
Medicare PECOS Information:
- PECOS PAC ID: 5294141297
- Enrollment ID: I20210316002183
Medical Identifiers
Medical identifiers for Kristi Coddington such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1043865496 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 1041C0700X | Social Worker - Clinical | C-11409 (New Mexico) | Secondary |
| 101YM0800X | Counselor - Mental Health | X-11109 (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. Kristi Coddington allows following entities to bill medicare on her behalf.
| Entity Name | Able Clinical Services, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1154919694 PECOS PAC ID: 4385050384 Enrollment ID: O20210316002140 |
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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. Kristi Coddington 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 |
Kristi Coddington, LCSW 504 N Church St, Bloomfield, NM 87413-5607 Ph: (505) 402-1134 | Kristi Coddington, LCSW 100 N Church St Ste B, Bloomfield, NM 87413-5754 Ph: (505) 333-7219 |
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