Dr Gorky Herrera, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Ajo, Arizona. He graduated from medical school in 1986 and has 40 years of diverse experience with area of expertise as Psychiatry. He is a member of the group practice Ajo Community Health Center and his current practice location is
410 N Malacate St, Ajo, Arizona. You can reach out to his office (for appointments etc.) via phone at
(520) 387-5651.
Dr Gorky Herrera is licensed to practice in Arizona (license number 31471) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1740222025.
Physician's Profile
| Full Name | Dr Gorky Herrera |
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| Gender | Male |
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| Speciality | Psychiatry |
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| Experience | 40 Years |
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| Location | 410 N Malacate St, Ajo, Arizona |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Gorky Herrera graduated from medical school in 1986
NPI Data:
- NPI Number: 1740222025
- Provider Enumeration Date: 06/12/2006
- Last Update Date: 07/31/2024
Medicare PECOS Information:
- PECOS PAC ID: 2860391638
- Enrollment ID: I20031231000450
Medical Identifiers
Medical identifiers for Dr Gorky Herrera such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1740222025 | NPI | - | NPPES |
| 815417 | Medicaid | AZ | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 2084P0805X | Psychiatry & Neurology - Geriatric Psychiatry | 31471 (Arizona) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 31471 (Arizona) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Ajo Community Health Center | 3476441866 | 11 |
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 Gorky Herrera allows following entities to bill medicare on his behalf.
| Entity Name | Ajo Community Health Center |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1114037496
PECOS PAC ID: 3476441866
Enrollment ID: O20040308000777 |
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| Entity Name | Denova Collaborative Health, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1609300854
PECOS PAC ID: 2466437736
Enrollment ID: O20040621001542 |
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| Entity Name | Valle Del Sol Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1831344035
PECOS PAC ID: 8628019148
Enrollment ID: O20050516000299 |
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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. Dr Gorky Herrera 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 |
|---|
Dr Gorky Herrera, MD
410 N Malacate St,
Ajo, AZ 85321-2254
Ph: (520) 387-5651 | Dr Gorky Herrera, MD
410 N Malacate St,
Ajo, AZ 85321-2254
Ph: (520) 387-5651 |
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