Josef Nisenbaum, DO is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Placitas, New Mexico. His current practice location is
126 Diamond Tail Rd, Placitas, New Mexico. You can reach out to his office (for appointments etc.) via phone at
(505) 264-3550.
Josef Nisenbaum is licensed to practice in New Mexico (license number A-1195-02) 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 1790789493.
Physician's Profile
| Full Name | Josef Nisenbaum |
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| Gender | Male |
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| Speciality | Radiology - Diagnostic Radiology |
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| Location | 126 Diamond Tail Rd, Placitas, 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: 1790789493
- Provider Enumeration Date: 06/09/2005
- Last Update Date: 11/21/2019
Medicare PECOS Information:
- PECOS PAC ID: 8325033111
- Enrollment ID: I20040420000431
Medical Identifiers
Medical identifiers for Josef Nisenbaum such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1790789493 | NPI | - | NPPES |
| 31201059 | Medicaid | NM | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 2085R0204X | Radiology - Vascular & Interventional Radiology | A-1195-02 (New Mexico) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | A-1195-02 (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. Josef Nisenbaum allows following entities to bill medicare on his behalf.
| Entity Name | Imaging Associates Of New Mexico Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1629592464 PECOS PAC ID: 4981970233 Enrollment ID: O20171101000726 |
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| Entity Name | Sonoran Radiology Ltd |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1033745708 PECOS PAC ID: 3375964505 Enrollment ID: O20210226000394 |
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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. Josef Nisenbaum 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 |
Josef Nisenbaum, DO 126 Diamond Tail Rd, Placitas, NM 87043-8338 Ph: (505) 264-3550 | Josef Nisenbaum, DO 126 Diamond Tail Rd, Placitas, NM 87043-8338 Ph: (505) 264-3550 |
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