Ms Moriah B Mahoney, CFNP is a medicare enrolled "Physical Medicine & Rehabilitation" in Santa Fe, New Mexico. Her current practice location is
2504 Camino Entrada, Santa Fe, New Mexico. You can reach out to her office (for appointments etc.) via phone at
(505) 471-4985.
Ms Moriah B Mahoney is licensed to practice in New Mexico (license number CNP01287) 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 1902899362.
Provider's Profile
| Full Name | Ms Moriah B Mahoney |
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| Gender | Female |
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| Speciality | Physical Medicine & Rehabilitation |
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| Location | 2504 Camino Entrada, Santa Fe, 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. |
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NPI Data:
- NPI Number: 1902899362
- Provider Enumeration Date: 08/31/2005
- Last Update Date: 11/27/2023
Medicare PECOS Information:
- PECOS PAC ID: 4183667355
- Enrollment ID: I20050730000214
Medical Identifiers
Medical identifiers for Ms Moriah B Mahoney such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1902899362 | NPI | - | NPPES |
| 83871241 | Medicaid | NM | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363LF0000X | Nurse Practitioner - Family | CNP01287 (New Mexico) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | R53421 (New Mexico) | Secondary |
| 208100000X | Physical Medicine & Rehabilitation | CNP01287 (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. Ms Moriah B Mahoney allows following entities to bill medicare on her behalf.
| Entity Name | Southwest Medical Associates, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1164491072
PECOS PAC ID: 7214831114
Enrollment ID: O20031121000724 |
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| Entity Name | Rehabilitation Partners |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1033492673
PECOS PAC ID: 1052585304
Enrollment ID: O20111122000697 |
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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. Ms Moriah B Mahoney 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 |
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Ms Moriah B Mahoney, CFNP
3304 Mountain Rd Ne,
Albuquerque, NM 87106-1920
Ph: (505) 426-7686 | Ms Moriah B Mahoney, CFNP
2504 Camino Entrada,
Santa Fe, NM 87507-4851
Ph: (505) 471-4985 |
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