Ethan A Prairie, MD - Medicare Family Medicine in Rio Rancho, NM

Ethan A Prairie, MD is a medicare enrolled "Family Medicine" physician in Rio Rancho, New Mexico. His current practice location is 4005 High Resort Blvd Se, Rio Rancho, New Mexico. You can reach out to his office (for appointments etc.) via phone at (505) 462-6000.

Ethan A Prairie is licensed to practice in New Mexico (license number MD2023-0538) 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 1134749195.

Contact Information

Ethan A Prairie, MD
4005 High Resort Blvd Se,
Rio Rancho, NM 87124-5906
(505) 462-6000
Not Available

Map and Direction




Physician's Profile

Full NameEthan A Prairie
GenderMale
SpecialityFamily Medicine
Location4005 High Resort Blvd Se, Rio Rancho, New Mexico
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1134749195
  • Provider Enumeration Date: 04/20/2020
  • Last Update Date: 12/29/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 3375965239
  • Enrollment ID: I20230823000494

Medical Identifiers

Medical identifiers for Ethan A Prairie such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1134749195NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine MD2023-0538 (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. Ethan A Prairie allows following entities to bill medicare on his behalf.
Entity NamePresbyterian Healthcare Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1104802354
PECOS PAC ID: 9234041708
Enrollment ID: O20031103000603

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. Ethan A Prairie 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
Ethan A Prairie, MD
4005 High Resort Blvd Se,
Rio Rancho, NM 87124-5906

Ph: (505) 462-6000
Ethan A Prairie, MD
4005 High Resort Blvd Se,
Rio Rancho, NM 87124-5906

Ph: (505) 462-6000

Reviews and Comments


Family Medicine Doctors in Rio Rancho, NM

Lana K Wagner, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 4100 High Resort Blvd Se, Pmg Rio Rancho High Resort 4100, Rio Rancho, NM 87124
Phone: 505-462-8520    Fax: 505-462-8510
Jasmine Valerie Gutierrez, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 4005 High Resort Blvd Se, Rio Rancho, NM 87124
Phone: 505-462-6000    
Dr. Santiago Marinez Ayala, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2300 Grande Blvd Se, Suite A, Rio Rancho, NM 87124
Phone: 505-896-7100    
Mrs. Christina Marie Hannah, PA
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 184 Unser Blvd Ne, Rio Rancho, NM 87124
Phone: 505-896-0928    
Paul Afek, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 3001 Broadmoor Blvd Ne, Rio Rancho, NM 87144
Phone: 505-994-7397    
J. Dayton Voorhees, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 4005 High Resort Blvd Se, Pmg High Resort 4005, Rio Rancho, NM 87124
Phone: 505-462-6000    Fax: 505-462-6006

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.