Compassion Care Clinic Pc is a medicare enrolled primary clinic (Clinic/center) in Elephant Butte, New Mexico. The current practice location for Compassion Care Clinic Pc is 600 Highway 195 Ste A, Elephant Butte, New Mexico. For appointments, you can reach them via phone at
(575) 744-4872. The mailing address for Compassion Care Clinic Pc is Po Box 449, Elephant Butte, New Mexico and phone number is (575) 744-4872.
Compassion Care Clinic Pc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its
NPI number is 1063027761. 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
(575) 744-4872.
Primary Care Clinic Profile
| Full Name | Compassion Care Clinic Pc |
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| Speciality | Clinic/Center |
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| Location | 600 Highway 195 Ste A, Elephant Butte, New Mexico |
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| Authorized Official Name and Position | Dallas Lipscomb (OWNER) |
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| Authorized Official Contact | 5757444872 |
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| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
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Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Compassion Care Clinic Pc
Po Box 449
Elephant Butte
NM 87935-0449
Ph: (575) 744-4872 | Compassion Care Clinic Pc
600 Highway 195 Ste A
Elephant Butte
NM 87935-1820
Ph: (575) 744-4872 |
NPI Details:
| NPI Number | 1063027761 |
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| Provider Enumeration Date | 09/10/2020 |
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| Last Update Date | 04/08/2025 |
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Medicare PECOS Information:
| Medicare PECOS PAC ID | 9537589775 |
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| Medicare Enrollment ID | O20201009000124 |
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Medical Identifiers
Medical identifiers for Compassion Care Clinic Pc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1063027761 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Secondary |
| 261Q00000X | Clinic/center | (* (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.
Compassion Care Clinic Pc acts as a billing entity for following providers:
| Provider Name | Chandran Vedamanikam |
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| Provider Type | Practitioner - Family Practice |
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| Provider Identifiers | NPI Number: 1154585990
PECOS PAC ID: 4587838784
Enrollment ID: I20111128000789 |
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| Provider Name | Kimberly A Hill |
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| Provider Type | Practitioner - Nurse Practitioner |
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| Provider Identifiers | NPI Number: 1861961930
PECOS PAC ID: 3678815677
Enrollment ID: I20190423001093 |
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