Jordan Yvette Fuentes, is a medicare enrolled "Dietitian, Registered" provider in Carlsbad, New Mexico. Her current practice location is
1410 N 8th St Ste B, Carlsbad, New Mexico. You can reach out to her office (for appointments etc.) via phone at
(575) 736-8520.
Jordan Yvette Fuentes is licensed to practice in * (Not Available) (license number ) 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 1487403788.
Healthcare Provider's Profile
| Full Name | Jordan Yvette Fuentes |
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| Gender | Female |
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| Speciality | Dietitian, Registered |
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| Location | 1410 N 8th St Ste B, Carlsbad, 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: 1487403788
- Provider Enumeration Date: 05/17/2024
- Last Update Date: 05/17/2024
Medicare PECOS Information:
- PECOS PAC ID: 1153865084
- Enrollment ID: I20240702001461
Medical Identifiers
Medical identifiers for Jordan Yvette Fuentes such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1487403788 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 133V00000X | Dietitian, Registered | (* (Not Available)) | 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. Jordan Yvette Fuentes allows following entities to bill medicare on her behalf.
| Provider Name | Artesia General Hospital |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1114076825 PECOS PAC ID: 9537070586 Enrollment ID: O20031111000413 |
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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. Jordan Yvette Fuentes 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 |
Jordan Yvette Fuentes, 702 N 13th St, Artesia, NM 88210-1199 Ph: (575) 748-3333 | Jordan Yvette Fuentes, 1410 N 8th St Ste B, Carlsbad, NM 88220-3217 Ph: (575) 736-8520 |
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