Canoncito Band Of Navajos Health Center, Inc. - Medicare Primary Care in Tohajiilee, NM

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Canoncito Band Of Navajos Health Center, Inc. is a medicare enrolled primary clinic (Clinic/center - Rural Health) in Tohajiilee, New Mexico. The current practice location for Canoncito Band Of Navajos Health Center, Inc. is 129 Medicine Horse Drive, Tohajiilee, New Mexico. For appointments, you can reach them via phone at (505) 908-2307. The mailing address for Canoncito Band Of Navajos Health Center, Inc. is 129 Medicine Horse Drive, Tohajiilee, New Mexico and phone number is (505) 908-2307.

Canoncito Band Of Navajos Health Center, Inc. is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1578010070. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (505) 908-2307.

Contact Information

Canoncito Band Of Navajos Health Center, Inc.
129 Medicine Horse Drive
Tohajiilee
NM 87026
(505) 908-2307
(505) 908-2310

Map and Direction


Primary Care Clinic Profile

Full NameCanoncito Band Of Navajos Health Center, Inc.
SpecialityClinic/Center
Location129 Medicine Horse Drive, Tohajiilee, New Mexico
Authorized Official Name and PositionBeverly Lewis (BUSINESS OFFICE)
Authorized Official Contact5059082307
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Canoncito Band Of Navajos Health Center, Inc.
129 Medicine Horse Drive
Tohajiilee
NM 87026

Ph: (505) 908-2307		Canoncito Band Of Navajos Health Center, Inc.
129 Medicine Horse Drive
Tohajiilee
NM 87026

Ph: (505) 908-2307

NPI Details:

NPI Number1578010070
Provider Enumeration Date09/01/2016
Last Update Date02/01/2017

Medicare PECOS Information:

Medicare PECOS PAC ID8325321235
Medicare Enrollment IDO20170425001197

Medical Identifiers

Medical identifiers for Canoncito Band Of Navajos Health Center, Inc. such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1578010070NPI-NPPES
91286018MedicaidNM

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QR1300XClinic/center - Rural Health (* (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. Canoncito Band Of Navajos Health Center, Inc. acts as a billing entity for following providers:
Provider NameSheryl A O Shea
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1295726073
PECOS PAC ID: 4385540707
Enrollment ID: I20031208000845
Provider NameKerry A Hile
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1972683878
PECOS PAC ID: 6800796558
Enrollment ID: I20040109001052
Provider NameUrsula R Roblero
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1790888774
PECOS PAC ID: 6103857867
Enrollment ID: I20050823000698
Provider NameChristopher C Cordes
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1033318902
PECOS PAC ID: 7517053085
Enrollment ID: I20071013000012
Provider NameDonald W Clark
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1083773931
PECOS PAC ID: 4688749336
Enrollment ID: I20080815000087
Provider NameRobert C Salek
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1164452207
PECOS PAC ID: 1153324454
Enrollment ID: I20081020000449
Provider NameJulianna J Reece
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1083607634
PECOS PAC ID: 0143376590
Enrollment ID: I20090925000572
Provider NameElizabeth B Cumby
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1962591669
PECOS PAC ID: 4587565403
Enrollment ID: I20120315000808
Provider NameRoberto C Montes
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1639523855
PECOS PAC ID: 8628360674
Enrollment ID: I20160712000993
Provider NameEmily Rothman
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1124119698
PECOS PAC ID: 9234037086
Enrollment ID: I20171206002318
Provider NameJennifer M Pas
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
Provider IdentifiersNPI Number: 1356385751
PECOS PAC ID: 7911959275
Enrollment ID: I20210915001222
Provider NameJory L Mazzola
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1255537593
PECOS PAC ID: 6406082312
Enrollment ID: I20230815000435
Provider NameBarbara V Lewis Heywood
Provider TypePractitioner - Dentist
Provider IdentifiersNPI Number: 1265416069
PECOS PAC ID: 9436563574
Enrollment ID: I20230823002946
Provider NameMichael R Craddock
Provider TypePractitioner - Dentist
Provider IdentifiersNPI Number: 1871541276
PECOS PAC ID: 1951764497
Enrollment ID: I20230830003412
Provider NameDathan Tsosie
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1174151914
PECOS PAC ID: 9931526423
Enrollment ID: I20231114001874
Provider NameKenneth Rodriguez
Provider TypePractitioner - Dentist
Provider IdentifiersNPI Number: 1962421610
PECOS PAC ID: 5799207866
Enrollment ID: I20250318002131
Provider NameValencia Zah
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1467975870
PECOS PAC ID: 4183140619
Enrollment ID: I20250429000026

Reviews and Comments


Clinic/Center in Tohajiilee, NM

Canoncito Band Of Navajos Health Center, Inc.
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 129 Medicine Horse Dr, Tohajiilee, NM 87026
Phone: 505-908-2307    Fax: 505-908-2310

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.