Mrs Gina Lorraine Deluca, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Santa Fe, New Mexico. Her current practice location is
2960 Rodeo Park Dr W, Santa Fe, New Mexico. You can reach out to her office (for appointments etc.) via phone at
(505) 986-9633.
Mrs Gina Lorraine Deluca is licensed to practice in New Mexico (license number C-09792) 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 1114279601.
Healthcare Provider's Profile
| Full Name | Mrs Gina Lorraine Deluca |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker - Clinical |
|---|
| Location | 2960 Rodeo Park Dr W, Santa Fe, New Mexico |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1114279601
- Provider Enumeration Date: 10/08/2012
- Last Update Date: 10/01/2023
Medicare PECOS Information:
- PECOS PAC ID: 0244596435
- Enrollment ID: I20171103000394
Medical Identifiers
Medical identifiers for Mrs Gina Lorraine Deluca such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1114279601 | NPI | - | NPPES |
| E7436 | Medicaid | NM | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101Y00000X | Counselor | C-09792 (New Mexico) | Secondary |
| 1041C0700X | Social Worker - Clinical | C-09792 (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. Mrs Gina Lorraine Deluca allows following entities to bill medicare on her behalf.
| Entity Name | Psychotherapy & Pastoral Counseling Associates |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1083149678 PECOS PAC ID: 2062780083 Enrollment ID: O20170616000144 |
|---|
| Entity Name | Peace For Joy Counseling Llc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1366128381 PECOS PAC ID: 0042741209 Enrollment ID: O20240930001870 |
|---|
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. Mrs Gina Lorraine Deluca 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 |
Mrs Gina Lorraine Deluca, LCSW 2960 Rodeo Park Dr W, Santa Fe, NM 87505-6351 Ph: (505) 986-9633 | Mrs Gina Lorraine Deluca, LCSW 2960 Rodeo Park Dr W, Santa Fe, NM 87505-6351 Ph: (505) 986-9633 |
Reviews and Comments