Ch Specialty Services Nm Llc - Medicare Primary Care in Espanola, NM

Ch Specialty Services Nm Llc is a medicare enrolled primary clinic (Internal Medicine) in Espanola, New Mexico. The current practice location for Ch Specialty Services Nm Llc is 206 S Coronado Ave, Espanola, New Mexico. For appointments, you can reach them via phone at (337) 408-0797. The mailing address for Ch Specialty Services Nm Llc is 5750 Johnston St Ste 205, Lafayette, Louisiana and phone number is (337) 408-0797.

Ch Specialty Services Nm Llc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1346943685. 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 (337) 408-0797.

Contact Information

Ch Specialty Services Nm Llc
206 S Coronado Ave
Espanola
NM 87532-2792
(337) 408-0797
Not Available

Map and Direction


Primary Care Clinic Profile

Full NameCh Specialty Services Nm Llc
SpecialityInternal Medicine
Location206 S Coronado Ave, Espanola, New Mexico
Authorized Official Name and PositionNicole Howard (SR VP OF ADMINISTRATIVE SERVICES)
Authorized Official Contact3374080797
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Ch Specialty Services Nm Llc
5750 Johnston St Ste 205
Lafayette
LA 70503-5345

Ph: (337) 408-0797
Ch Specialty Services Nm Llc
206 S Coronado Ave
Espanola
NM 87532-2792

Ph: (337) 408-0797

NPI Details:

NPI Number1346943685
Provider Enumeration Date03/24/2023
Last Update Date03/21/2025

Medicare PECOS Information:

Medicare PECOS PAC ID5496120883
Medicare Enrollment IDO20230418000479

Medical Identifiers

Medical identifiers for Ch Specialty Services Nm Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1346943685NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine (* (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. Ch Specialty Services Nm Llc acts as a billing entity for following providers:
Provider NameNancy M Greces
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1558384644
PECOS PAC ID: 2567364169
Enrollment ID: I20040123000639
Provider NameLisa S Noya
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1619938677
PECOS PAC ID: 9133172000
Enrollment ID: I20050401000966
Provider NameStephanie D Flores
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1083852271
PECOS PAC ID: 8820142334
Enrollment ID: I20090818000828
Provider NameAmy L Bubbico
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1598927683
PECOS PAC ID: 4183869423
Enrollment ID: I20130314000396
Provider NameAmit Bhandari
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1598929176
PECOS PAC ID: 3971773383
Enrollment ID: I20180201002254
Provider NameNaveen Kumar Gummadi
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1558711606
PECOS PAC ID: 1355677386
Enrollment ID: I20190729000776
Provider NameGopi Mara Koosham
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1235660101
PECOS PAC ID: 9133490402
Enrollment ID: I20200708002130
Provider NameKaleigh Roberts
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1962007385
PECOS PAC ID: 1557774650
Enrollment ID: I20210111000829
Provider NameKatrina Olivas
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1609467182
PECOS PAC ID: 7517373723
Enrollment ID: I20210315000649
Provider NameShenif Ladak
Provider TypePractitioner - Physical Medicine And Rehabilitation
Provider IdentifiersNPI Number: 1376948604
PECOS PAC ID: 5890018501
Enrollment ID: I20210715002020
Provider NameAshley Zurcher
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1023573359
PECOS PAC ID: 4284968363
Enrollment ID: I20220516000097
Provider NameRuth Seeley
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1295392421
PECOS PAC ID: 3779818737
Enrollment ID: I20240321002641
Provider NameBridget Nore
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1306508262
PECOS PAC ID: 8426447988
Enrollment ID: I20240510000337
Provider NameChante Campbell-nixon
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1649868738
PECOS PAC ID: 7416361126
Enrollment ID: I20240614000163
Provider NameAnthony Cohn
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1558986745
PECOS PAC ID: 2567900194
Enrollment ID: I20240814002827
Provider NameDanielle Thompson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1477384709
PECOS PAC ID: 1658811237
Enrollment ID: I20240910002069
Provider NameAudrianna Sparks
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1245766294
PECOS PAC ID: 1355615626
Enrollment ID: I20240910004377
Provider NameMia Stroble
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1215575956
PECOS PAC ID: 7618398918
Enrollment ID: I20240911004812
Provider NameShawn P Bowman
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1093563827
PECOS PAC ID: 9638610447
Enrollment ID: I20240920000097
Provider NameLeslie Dawn Sheffield
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1538532528
PECOS PAC ID: 5799089157
Enrollment ID: I20241017000386
Provider NameLeah Parker
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1063024198
PECOS PAC ID: 0244641132
Enrollment ID: I20241218001529
Provider NameCoreen Johnson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1952957722
PECOS PAC ID: 6608209861
Enrollment ID: I20250516001492

Reviews and Comments


Internal Medicine in Espanola, NM

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Phone: 505-747-3368    Fax: 505-747-3368
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Medicare: Medicare Enrolled
Practice Location: 1111 El Llano Rd, Espanola, NM 87532
Phone: 505-753-7357    Fax: 905-747-8659

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.