| Lighthouse Recovery Llc | |
|
1990 E Lohman Ave Ste 209 Las Cruces NM 88001-3172 | |
| (575) 405-0220 | |
| (888) 246-6904 |
| Full Name | Lighthouse Recovery Llc |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 1990 E Lohman Ave Ste 209, Las Cruces, New Mexico |
| Authorized Official Name and Position | Paige Allyse Barrera (OWNER) |
| Authorized Official Contact | 9154222066 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lighthouse Recovery Llc 1990 E Lohman Ave Ste 209 Las Cruces NM 88001-3172 Ph: (575) 405-0220 | Lighthouse Recovery Llc 1990 E Lohman Ave Ste 209 Las Cruces NM 88001-3172 Ph: (575) 405-0220 |
| NPI Number | 1164242178 |
|---|---|
| Provider Enumeration Date | 10/14/2024 |
| Last Update Date | 07/09/2025 |
| Certification Date | 07/09/2025 |
| Medicare PECOS PAC ID | 2567987340 |
|---|---|
| Medicare Enrollment ID | O20250415001771 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164242178 | NPI | - | NPPES |
| 7L5355 | Other | MEDICARE | |
| N0013364 | Medicaid | NM | |
| N0013372 | Medicaid | NM | |
| 29079012 | Medicaid | NM | |
| 7L6017 | Other | INDIVIDUAL MEDICARE PTAN |
| Provider Name | Paige Allyse Barrera |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629842414 PECOS PAC ID: 5294177549 Enrollment ID: I20240531001737 |
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