Miss Raven Elizabeth Cuellar, PH D is a medicare enrolled "Psychologist - Clinical" provider in Albuquerque, New Mexico. Her current practice location is
2400 Tucker Ne Msc09 5030, Albuquerque, New Mexico. You can reach out to her office (for appointments etc.) via phone at
(505) 272-5002.
Miss Raven Elizabeth Cuellar is licensed to practice in New Mexico (license number 1373) 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 1700036449.
Healthcare Provider's Profile
| Full Name | Miss Raven Elizabeth Cuellar |
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| Gender | Female |
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| Speciality | Psychologist - Clinical |
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| Location | 2400 Tucker Ne Msc09 5030, 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: 1700036449
- Provider Enumeration Date: 09/30/2008
- Last Update Date: 01/30/2025
Medicare PECOS Information:
- PECOS PAC ID: 0345559647
- Enrollment ID: I20151028001123
Medical Identifiers
Medical identifiers for Miss Raven Elizabeth Cuellar such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1700036449 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 103TC2200X | Psychologist - Clinical Child & Adolescent | 1373 (New Mexico) | Secondary |
| 103TC0700X | Psychologist - Clinical | 1373 (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. Miss Raven Elizabeth Cuellar allows following entities to bill medicare on her behalf.
| Entity Name | Unm Medical Group Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1831218627 PECOS PAC ID: 4981795267 Enrollment ID: O20070801000589 |
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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. Miss Raven Elizabeth Cuellar 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 |
Miss Raven Elizabeth Cuellar, PH D 800 Bradbury Dr Se Ste 116, Albuquerque, NM 87106-4310 Ph: (505) 272-1476 | Miss Raven Elizabeth Cuellar, PH D 2400 Tucker Ne Msc09 5030, Albuquerque, NM 87131-0001 Ph: (505) 272-5002 |
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