Genesis Eldercare Physician Services Llc - Medicare Primary Care in Albuquerque, NM

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Genesis Eldercare Physician Services Llc is a medicare enrolled primary clinic (Internal Medicine - Geriatric Medicine) in Albuquerque, New Mexico. The current practice location for Genesis Eldercare Physician Services Llc is 7900 Constitution Ave Ne, Albuquerque, New Mexico. For appointments, you can reach them via phone at (410) 769-7859. The mailing address for Genesis Eldercare Physician Services Llc is Po Box 62946, Baltimore, Maryland and phone number is (410) 494-7607.

Genesis Eldercare Physician Services Llc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1548615313. 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 (410) 769-7859.

Contact Information

Genesis Eldercare Physician Services Llc
7900 Constitution Ave Ne
Albuquerque
NM 87110
(410) 769-7859
Not Available

Map and Direction


Primary Care Clinic Profile

Full NameGenesis Eldercare Physician Services Llc
SpecialityInternal Medicine
Location7900 Constitution Ave Ne, Albuquerque, New Mexico
Authorized Official Name and PositionEric Shapiro (VICE PRESIDENT)
Authorized Official Contact4108327790
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Genesis Eldercare Physician Services Llc
Po Box 62946
Baltimore
MD 21264-2946

Ph: (410) 494-7607		Genesis Eldercare Physician Services Llc
7900 Constitution Ave Ne
Albuquerque
NM 87110

Ph: (410) 769-7859

NPI Details:

NPI Number1548615313
Provider Enumeration Date04/29/2016
Last Update Date08/05/2019

Medicare PECOS Information:

Medicare PECOS PAC ID9830002534
Medicare Enrollment IDO20170619000933

Medical Identifiers

Medical identifiers for Genesis Eldercare Physician Services Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1548615313NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RG0300XInternal Medicine - Geriatric 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. Genesis Eldercare Physician Services Llc acts as a billing entity for following providers:
Provider NameRaymond F Ortiz
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1497708754
PECOS PAC ID: 8325086408
Enrollment ID: I20050419001420
Provider NameThomas Wulf
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1467405779
PECOS PAC ID: 1456354661
Enrollment ID: I20060808000437
Provider NameJill A Rhymes
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1770589475
PECOS PAC ID: 2365529799
Enrollment ID: I20080409000217
Provider NameEmily Rothman
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1124119698
PECOS PAC ID: 9234037086
Enrollment ID: I20100917000585
Provider NameLisa M Stolarczyk
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1497930176
PECOS PAC ID: 4880874866
Enrollment ID: I20110208000740
Provider NameJoanne Johnston
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1316256696
PECOS PAC ID: 9032177688
Enrollment ID: I20140121000291
Provider NameDavid Michael Greenberg
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1003896408
PECOS PAC ID: 9133193477
Enrollment ID: I20140328000863
Provider NameRadu Butuc
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1245579796
PECOS PAC ID: 7113145715
Enrollment ID: I20140822002102
Provider NameSheila Louise Hundley
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1821549643
PECOS PAC ID: 5294016713
Enrollment ID: I20161221000854
Provider NameJennifer Lynne Pantoja
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1841782877
PECOS PAC ID: 5597011163
Enrollment ID: I20180712000493
Provider NameAnna Munoz
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1710452370
PECOS PAC ID: 2860737665
Enrollment ID: I20181226001071
Provider NameTrina C Parker
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1316191950
PECOS PAC ID: 8123144219
Enrollment ID: I20190315001382
Provider NameNagendra Sarat Chandra Ayyagari
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1851629521
PECOS PAC ID: 9335304849
Enrollment ID: I20190610001422
Provider NameJane-frances Shiti
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1215461629
PECOS PAC ID: 9638415078
Enrollment ID: I20191010002673
Provider NameGopi Mara Koosham
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1235660101
PECOS PAC ID: 9133490402
Enrollment ID: I20200708002130
Provider NameLeo Iiwe Nwaokwu
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1497098883
PECOS PAC ID: 6305132028
Enrollment ID: I20200909000110
Provider NameLinsey Petrucci
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1750773008
PECOS PAC ID: 3971820218
Enrollment ID: I20201230000194
Provider NameErin Mintle
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1245858455
PECOS PAC ID: 5395158018
Enrollment ID: I20210119001194
Provider NameScott Bolhack
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1730160573
PECOS PAC ID: 8426962424
Enrollment ID: I20210303002877
Provider NameNneka Okoh Godwin
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1891294161
PECOS PAC ID: 4688681497
Enrollment ID: I20220308000311
Provider NameLatoya Freeman
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1376162586
PECOS PAC ID: 9931579323
Enrollment ID: I20221229001002
Provider NameBethany Alise Henderson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1215233721
PECOS PAC ID: 6103299391
Enrollment ID: I20230309001332
Provider NameMargarita Stella Turk
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1538849203
PECOS PAC ID: 8022462779
Enrollment ID: I20230928001977
Provider NameCassandra Marie Edlund
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1497408314
PECOS PAC ID: 0244689792
Enrollment ID: I20231211000246
Provider NameJennifer Dawn Nelson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1669253951
PECOS PAC ID: 2365891579
Enrollment ID: I20231213003350
Provider NameApril E Kimball
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1528373693
PECOS PAC ID: 1850562901
Enrollment ID: I20240109001284
Provider NameCarrie Thompson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1619678521
PECOS PAC ID: 1557705894
Enrollment ID: I20240214004385

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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.