Letha Sue Olmos, LISW is a medicare enrolled "Social Worker" provider in Albuquerque, New Mexico. Her current practice location is
540 Chama St. Ne, Albuquerque, New Mexico. You can reach out to her office (for appointments etc.) via phone at
(505) 265-0753.
Letha Sue Olmos is licensed to practice in New Mexico (license number I-07273) 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 1215129143.
Healthcare Provider's Profile
| Full Name | Letha Sue Olmos |
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| Gender | Female |
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| Speciality | Social Worker |
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| Location | 540 Chama St. Ne, Albuquerque, 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: 1215129143
- Provider Enumeration Date: 08/14/2007
- Last Update Date: 10/22/2012
Medicare PECOS Information:
- PECOS PAC ID: 1052440302
- Enrollment ID: I20100525000124
Medical Identifiers
Medical identifiers for Letha Sue Olmos such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1215129143 | NPI | - | NPPES |
| 36628271 | Medicaid | NM | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101YM0800X | Counselor - Mental Health | X-05627 (New Mexico) | Secondary |
| 104100000X | Social Worker | I-07273 (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. Letha Sue Olmos allows following entities to bill medicare on her behalf.
| Entity Name | Elemental Health And Wellness Center Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1891125183 PECOS PAC ID: 0446481881 Enrollment ID: O20140327000787 |
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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. Letha Sue Olmos 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 |
Letha Sue Olmos, LISW 540 Chama St Ne, Albuquerque, NM 87108 Ph: (505) 265-0753 | Letha Sue Olmos, LISW 540 Chama St. Ne, Albuquerque, NM 87108 Ph: (505) 265-0753 |
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