Graciela Ponce, LPCC is a medicare enrolled "Counselor - Professional" provider in La Mesa, New Mexico. Her current practice location is
18420 S Highway 28, La Mesa, New Mexico. You can reach out to her office (for appointments etc.) via phone at
(575) 233-3830.
Graciela Ponce is licensed to practice in New Mexico (license number CTB-2024-0609) 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 1205545662.
Healthcare Provider's Profile
| Full Name | Graciela Ponce |
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| Gender | Female |
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| Speciality | Counselor - Professional |
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| Location | 18420 S Highway 28, La Mesa, 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: 1205545662
- Provider Enumeration Date: 11/15/2022
- Last Update Date: 10/29/2024
Medicare PECOS Information:
- PECOS PAC ID: 3678007200
- Enrollment ID: I20241105002935
Medical Identifiers
Medical identifiers for Graciela Ponce such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1205545662 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101YM0800X | Counselor - Mental Health | CMH0204121 (New Mexico) | Secondary |
| 101YP2500X | Counselor - Professional | CTB-2024-0609 (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. Graciela Ponce allows following entities to bill medicare on her behalf.
| Entity Name | La Clinica De Familia, Incorporated |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1528424397 PECOS PAC ID: 6305745191 Enrollment ID: O20031231000076 |
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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. Graciela Ponce 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 |
Graciela Ponce, LPCC 385 Calle De Alegra Ste A, Las Cruces, NM 88005-3423 Ph: (575) 526-1105 | Graciela Ponce, LPCC 18420 S Highway 28, La Mesa, NM 88044-9605 Ph: (575) 233-3830 |
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