Elite Patient Care New Mexico Llc - Medicare Primary Care in Espanola, NM

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Elite Patient Care New Mexico Llc is a medicare enrolled primary clinic (Internal Medicine) in Espanola, New Mexico. The current practice location for Elite Patient Care New Mexico 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 Elite Patient Care New Mexico Llc is 1509 Dulles Dr, Lafayette, Louisiana and phone number is (337) 408-0797.

Elite Patient Care New Mexico Llc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1598352015. 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

Elite Patient Care New Mexico Llc
206 S Coronado Ave
Espanola
NM 87532-2792
(337) 408-0797
Not Available

Map and Direction


Primary Care Clinic Profile

Full NameElite Patient Care New Mexico Llc
SpecialityInternal Medicine
Location206 S Coronado Ave, Espanola, New Mexico
Authorized Official Name and PositionAntonio Gamboa (OWNER)
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
Elite Patient Care New Mexico Llc
1509 Dulles Dr
Lafayette
LA 70506-3718

Ph: (337) 408-0797		Elite Patient Care New Mexico Llc
206 S Coronado Ave
Espanola
NM 87532-2792

Ph: (337) 408-0797

NPI Details:

NPI Number1598352015
Provider Enumeration Date12/30/2020
Last Update Date05/12/2023

Medicare PECOS Information:

Medicare PECOS PAC ID9335553197
Medicare Enrollment IDO20210208000410

Medical Identifiers

Medical identifiers for Elite Patient Care New Mexico Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1598352015NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine (* (Not Available))Primary
363L00000XNurse Practitioner (* (Not Available))Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Elite Patient Care New Mexico 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 - Hospitalist
Provider IdentifiersNPI Number: 1619938677
PECOS PAC ID: 9133172000
Enrollment ID: I20050401000966
Provider NameDiane H Cummings
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1538149190
PECOS PAC ID: 6608875075
Enrollment ID: I20061212000536
Provider NameStephanie D Flores
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1083852271
PECOS PAC ID: 8820142334
Enrollment ID: I20090818000828
Provider NameTanya T Bryndzia
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1720064835
PECOS PAC ID: 9537121603
Enrollment ID: I20120120000604
Provider NameAmy L Bubbico
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1598927683
PECOS PAC ID: 4183869423
Enrollment ID: I20130314000396
Provider NameChristina Chen
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1508183393
PECOS PAC ID: 7810137676
Enrollment ID: I20130628000361
Provider NameLilia M Pedrego
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1770895054
PECOS PAC ID: 9830412824
Enrollment ID: I20141223002189
Provider NameTiffany N Johnson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1811349194
PECOS PAC ID: 1456649540
Enrollment ID: I20161005000361
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 NameDavid Arturo Rodriguez
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1780038828
PECOS PAC ID: 3971897216
Enrollment ID: I20190910002490
Provider NameCarmen Marcolina
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1730720632
PECOS PAC ID: 9739513417
Enrollment ID: I20200106002121
Provider NameKaleigh Roberts
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1962007385
PECOS PAC ID: 1557774650
Enrollment ID: I20210111000829
Provider NameRozita Dayani
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1932706223
PECOS PAC ID: 2567875339
Enrollment ID: I20210115001764
Provider NameAntonio Gamboa
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1154356780
PECOS PAC ID: 2264468222
Enrollment ID: I20210208000617
Provider NameEmily Henigman
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1568023281
PECOS PAC ID: 8325374796
Enrollment ID: I20210208000805
Provider NameAmanda Winter
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1629679519
PECOS PAC ID: 2961816749
Enrollment ID: I20210208000971
Provider NameNirja Kafle
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1578165486
PECOS PAC ID: 3274947056
Enrollment ID: I20210208001211
Provider NameDeanna Whitehorn
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1265081756
PECOS PAC ID: 6507197290
Enrollment ID: I20210218000410
Provider NameKatrina Singh
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 NameMarian Stokes
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1043562150
PECOS PAC ID: 9436394079
Enrollment ID: I20220315002894
Provider NameJacqueline Hill
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1336629740
PECOS PAC ID: 8426392093
Enrollment ID: I20220331001974
Provider NameAshley Lauren Zurcher
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1023573359
PECOS PAC ID: 4284968363
Enrollment ID: I20220516000097
Provider NameBrian Cooper
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1366678963
PECOS PAC ID: 0547426223
Enrollment ID: I20230724003638

Reviews and Comments


Internal Medicine in Espanola, NM

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Ch Specialty Services Nm Llc
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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.