Dr Giddel G A Thom, MD - Medicare Pediatrics in Portales, NM

  1. Home
  2. Pediatrics
  3. NM
  4. Portales
Dr Giddel G A Thom, MD is a medicare enrolled "Pediatrics - Pediatric Hematology-oncology" physician in Portales, New Mexico. His current practice location is 1515 W Fir St, Portales, New Mexico. You can reach out to his office (for appointments etc.) via phone at (575) 356-6695.

Dr Giddel G A Thom is licensed to practice in New Mexico (license number MD2009-0687) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1700078375.

Contact Information

Dr Giddel G A Thom, MD
1515 W Fir St,
Portales, NM 88130-5703
(575) 356-6695
(575) 356-5948

Map and Direction




Physician's Profile

Full NameDr Giddel G A Thom
GenderMale
SpecialityPediatrics - Pediatric Hematology-oncology
Location1515 W Fir St, Portales, New Mexico
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1700078375
  • Provider Enumeration Date: 08/16/2007
  • Last Update Date: 05/07/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 2163516816
  • Enrollment ID: I20180509000637

Medical Identifiers

Medical identifiers for Dr Giddel G A Thom such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1700078375NPI-NPPES
73252875MedicaidNM
ME98766OtherFLMEDICAL LICENCE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2080P0207XPediatrics - Pediatric Hematology-oncology ME978766 (Florida)Secondary
2080P0207XPediatrics - Pediatric Hematology-oncology MD2009-0687 (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. Dr Giddel G A Thom allows following entities to bill medicare on his behalf.
Entity NameLa Casa De Buena Salud Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1972603165
PECOS PAC ID: 9234032939
Enrollment ID: O20040129001141

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. Dr Giddel G A Thom 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 AddressPractice Location Address
Dr Giddel G A Thom, MD
Po Box 843,
Portales, NM 88130-0843

Ph: (575) 356-6695		Dr Giddel G A Thom, MD
1515 W Fir St,
Portales, NM 88130-5703

Ph: (575) 356-6695

Reviews and Comments


Pediatrics Doctors in Portales, NM


Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.