Mr Triston Shane Eriacho, LSAA is a
Counselor - Addiction (substance Use Disorder) based in Pine Hill, New Mexico. Mr Triston Shane Eriacho is licensed to practice in New Mexico (license number CTB-2023-0738) and his current practice location is
Bia Rt. 125 Behavioral Health Road, Pine Hill, New Mexico. He can be reached at his office (for appointments etc.) via phone at
(505) 775-3353.
NPI number for Mr Triston Shane Eriacho is 1023934379 and his current mailing address is Po Box 490, Pinehill, New Mexico. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1023934379.
Healthcare Provider's Profile
| Full Name | Mr Triston Shane Eriacho |
|---|
| Gender | Male |
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| Speciality | Counselor - Addiction (substance Use Disorder) |
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| Location | Bia Rt. 125 Behavioral Health Road, Pine Hill, New Mexico |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1023934379
- Provider Enumeration Date: 06/29/2026
- Last Update Date: 06/29/2026
Medical Identifiers
Medical identifiers for Mr Triston Shane Eriacho such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1023934379 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | CTB-2023-0738 (New Mexico) | Primary |
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. Mr Triston Shane Eriacho is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Mr Triston Shane Eriacho, LSAA Po Box 490, Pinehill, NM 87357-0490 Ph: (505) 775-3353 | Mr Triston Shane Eriacho, LSAA Bia Rt. 125 Behavioral Health Road, Pine Hill, NM 87357 Ph: (505) 775-3353 |
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