Kristy R Ontiveros, MD is a medicare enrolled "Emergency Medicine" physician in Belen, New Mexico. Her current practice location is
420 N Main St, Belen, New Mexico. You can reach out to her office (for appointments etc.) via phone at
(505) 861-0060.
Kristy R Ontiveros is licensed to practice in New Mexico (license number MD2005-0520) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1356473144.
Physician's Profile
| Full Name | Kristy R Ontiveros |
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| Gender | Female |
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| Speciality | Emergency Medicine |
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| Location | 420 N Main St, Belen, 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: 1356473144
- Provider Enumeration Date: 03/09/2007
- Last Update Date: 03/19/2025
Medicare PECOS Information:
- PECOS PAC ID: 5496720732
- Enrollment ID: I20060201000631
Medical Identifiers
Medical identifiers for Kristy R Ontiveros such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1356473144 | NPI | - | NPPES |
| NM 30571880 | Medicaid | NM | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207P00000X | Emergency Medicine | MD2005-0520 (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. Kristy R Ontiveros allows following entities to bill medicare on her behalf.
| Entity Name | Los Alamos Emergency Medical Associates Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1679965883 PECOS PAC ID: 1557680105 Enrollment ID: O20150501001381 |
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| Entity Name | Southwest Emergency Medical Associates Of Nm Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1720505571 PECOS PAC ID: 8426324294 Enrollment ID: O20171023001270 |
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| Entity Name | Elite Primary Care Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1669945002 PECOS PAC ID: 2961749205 Enrollment ID: O20190124002991 |
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| Entity Name | Three Crosses Regional Hospital Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1487248050 PECOS PAC ID: 1254758667 Enrollment ID: O20210405001637 |
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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. Kristy R Ontiveros 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 |
Kristy R Ontiveros, MD Po Box 2845, Las Cruces, NM 88004-2845 Ph: (575) 303-2929 | Kristy R Ontiveros, MD 420 N Main St, Belen, NM 87002-3718 Ph: (505) 861-0060 |
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