Espanola Sports Medicine, Pa - Medicare in Espanola, NM

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Espanola Sports Medicine, Pa is a medicare enrolled "Clinic/center - Rehabilitation" provider in Espanola, New Mexico. Their current practice location is 708 La Joya St, Espanola, New Mexico. You can reach out to their office (for appointments etc.) via phone at (505) 753-6550.

Espanola Sports Medicine, Pa is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Espanola Sports Medicine, Pa is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1982777850.

Contact Information

Espanola Sports Medicine, Pa
708 La Joya St,
Espanola, NM 87532-2511
(505) 753-6550
(505) 753-1219

Map and Direction




Healthcare Provider's Profile

Full NameEspanola Sports Medicine, Pa
TypeFacility
SpecialityClinic/center - Rehabilitation
Location708 La Joya St, Espanola, New Mexico
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1982777850
  • Provider Enumeration Date: 11/16/2006
  • Last Update Date: 10/31/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 2163691411
  • Enrollment ID: O20141114001053

Medical Identifiers

Medical identifiers for Espanola Sports Medicine, Pa such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1982777850NPI-NPPES
R5803MedicaidNM

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist 6628 (New Mexico)Secondary
261QP2000XClinic/center - Physical Therapy 6628 (New Mexico)Secondary
261QR0400XClinic/center - Rehabilitation (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Espanola Sports Medicine, Pa acts as a billing entity for following providers:
Provider NameMarian C Bradbury
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1942324900
PECOS PAC ID: 6507188216
Enrollment ID: I20141209000669
Provider NameJoan E Adelsky
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1306323829
PECOS PAC ID: 3476806845
Enrollment ID: I20181101000728
Provider NameAmanda R Vander Wiel
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1700449931
PECOS PAC ID: 4082030150
Enrollment ID: I20200819003469
Provider NameRyan Alexis Ware
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1760033682
PECOS PAC ID: 0143674028
Enrollment ID: I20250127000069
Provider NameBriana Bustos
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1164952958
PECOS PAC ID: 2860912649
Enrollment ID: I20250224002280
Provider NameKathryn Marie Harrell
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1003409285
PECOS PAC ID: 0143745315
Enrollment ID: I20250421001390

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. Espanola Sports Medicine, Pa 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 AddressPractice Location Address
Espanola Sports Medicine, Pa
708 La Joya St,
Espanola, NM 87532-2511

Ph: (505) 753-6550		Espanola Sports Medicine, Pa
708 La Joya St,
Espanola, NM 87532-2511

Ph: (505) 753-6550

Reviews and Comments



Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.