Antonia Hernandez, CPNP, RN in Gallup, NM - Medicare Nurse Practitioner

Antonia Hernandez, CPNP, RN is a medicare enrolled "Nurse Practitioner - Pediatrics" in Gallup, New Mexico. Her current practice location is 2111 College Dr, Gallup, New Mexico. You can reach out to her office (for appointments etc.) via phone at (505) 863-1820.

Antonia Hernandez is licensed to practice in New Mexico (license number 59822) 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 1306215926.

Contact Information

	Antonia Hernandez, CPNP, RN
	2111 College Dr, Gallup, NM 87301-5600
	(505) 863-1820
	Not Available

Map and Direction

Provider's Profile

Full Name	Antonia Hernandez
Gender	Female
Speciality	Nurse Practitioner - Pediatrics
Location	2111 College Dr, Gallup, New Mexico
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1306215926
Provider Enumeration Date: 09/24/2015
Last Update Date: 06/03/2020

Medicare PECOS Information:

PECOS PAC ID: 7214350677
Enrollment ID: I20200702000910

Medical Identifiers

Medical identifiers for Antonia Hernandez such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1306215926	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163WE0003X	Registered Nurse - Emergency	R67661 (New Mexico)	Secondary
363LP0200X	Nurse Practitioner - Pediatrics	59822 (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. Antonia Hernandez allows following entities to bill medicare on her behalf.

Entity Name	Rehoboth Mckinley Christian Health Care Services, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1720084999 PECOS PAC ID: 1759293855 Enrollment ID: O20031105000466

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. Antonia Hernandez 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
Antonia Hernandez, CPNP, RN 2111 College Dr, Gallup, NM 87301-5600 Ph: (505) 863-1820	Antonia Hernandez, CPNP, RN 2111 College Dr, Gallup, NM 87301-5600 Ph: (505) 863-1820

Reviews and Comments

Nurse Practitioner Nurses in Gallup, NM

Mrs. Gail Crawford, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 516 E Nizhoni Blvd, Gallup, NM 87301 Phone: 505-722-1000
Mrs. Relindis Mana Akwanga, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 610 N Fifth St, Gallup, NM 87301 Phone: 505-863-3120 Fax: 505-863-2961
Donna J Rich, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2025 E Aztec Ave, Gallup, NM 87301 Phone: 432-888-4130
Ms. Maria Elena Torres, ARNPC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 516 East Nizhoni Blvd., Gallup, NM 87301 Phone: 505-722-1000 Fax: 505-722-1496
Mrs. Sanaa Baker, FAMILY NURSE PRACTIT Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2111 College Dr, Gallup, NM 87301 Phone: 505-863-1820
Judy Liesveld, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2111 College Dr, Rehoboth Mckinley Christian Health Care Services, Gallup, NM 87301 Phone: 505-863-1820
Denise Walter, AGACNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 516 E Nizhoni Blvd, Gallup, NM 87301 Phone: 505-722-1000

Antonia Hernandez, CPNP, RN - Medicare Nurse Practitioner in Gallup, NM