Analicia Coca-dominguez, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Santa Fe, New Mexico. Her current practice location is
4730 Beckner Road, Santa Fe, New Mexico. You can reach out to her office (for appointments etc.) via phone at
(505) 989-4500.
Analicia Coca-dominguez is licensed to practice in New Mexico (license number C-10756) 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 1669826475.
Healthcare Provider's Profile
| Full Name | Analicia Coca-dominguez |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 4730 Beckner Road, Santa Fe, 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. |
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NPI Data:
- NPI Number: 1669826475
- Provider Enumeration Date: 04/18/2016
- Last Update Date: 07/07/2026
Medicare PECOS Information:
- PECOS PAC ID: 6709116353
- Enrollment ID: I20190924001960
Medical Identifiers
Medical identifiers for Analicia Coca-dominguez such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1669826475 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | C-10756 (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. Analicia Coca-dominguez allows following entities to bill medicare on her behalf.
| Entity Name | Presbyterian Medical Services |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1871505032
PECOS PAC ID: 2062324684
Enrollment ID: O20031103000414 |
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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. Analicia Coca-dominguez 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 |
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Analicia Coca-dominguez, LCSW
1339 Acequia Borrada,
Santa Fe, NM 87507-3072
Ph: (505) 501-8185 | Analicia Coca-dominguez, LCSW
4730 Beckner Road,
Santa Fe, NM 87507
Ph: (505) 989-4500 |
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