Dr Richard Michael Mondragon, MD is a medicare enrolled "Pathology - Anatomic Pathology & Clinical Pathology" physician in Rio Rancho, New Mexico. His current practice location is
1207 Golf Course Rd Se Ste B, Rio Rancho, New Mexico. You can reach out to his office (for appointments etc.) via phone at
(505) 924-0215.
Dr Richard Michael Mondragon is licensed to practice in Texas (license number M0495) 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 1588638324.
Physician's Profile
Full Name | Dr Richard Michael Mondragon |
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Gender | Male |
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Speciality | Pathology - Anatomic Pathology & Clinical Pathology |
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Location | 1207 Golf Course Rd Se Ste B, Rio Rancho, 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: 1588638324
- Provider Enumeration Date: 02/16/2006
- Last Update Date: 07/17/2024
Medicare PECOS Information:
- PECOS PAC ID: 4183642994
- Enrollment ID: I20100316000127
Medical Identifiers
Medical identifiers for Dr Richard Michael Mondragon such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1588638324 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | MD2006-0720 (New Mexico) | Secondary |
207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | M0495 (Texas) | 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 Richard Michael Mondragon allows following entities to bill medicare on his behalf.
Entity Name | Presbyterian Healthcare Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1104802354 PECOS PAC ID: 9234041708 Enrollment ID: O20031103000603 |
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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. Dr Richard Michael Mondragon 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 Richard Michael Mondragon, MD 640 Quantum Rd Ne, Rio Rancho, NM 87124 Ph: (505) 924-0209 | Dr Richard Michael Mondragon, MD 1207 Golf Course Rd Se Ste B, Rio Rancho, NM 87124-5213 Ph: (505) 924-0215 |
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