San Felipe Pueblo Health & Wellness Department is a medicare enrolled primary clinic (Clinic/center - Multi-specialty) in San Felipe, New Mexico. The current practice location for San Felipe Pueblo Health & Wellness Department is 3 Cedar Rd., San Felipe, New Mexico. For appointments, you can reach them via phone at
(505) 867-9616. The mailing address for San Felipe Pueblo Health & Wellness Department is Po Box 4339, San Felipe, New Mexico and phone number is (505) 867-9616.
San Felipe Pueblo Health & Wellness Department is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its
NPI number is 1265511299. 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) 867-9616.
Primary Care Clinic Profile
| Full Name | San Felipe Pueblo Health & Wellness Department |
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| Speciality | Clinic/Center |
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| Location | 3 Cedar Rd., San Felipe, New Mexico |
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| Authorized Official Name and Position | Bruce D. Garcia (PUEBLO OF SAN FELIPE TRIBAL ADMIN) |
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| Authorized Official Contact | 5058673381 |
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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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San Felipe Pueblo Health & Wellness Department
Po Box 4339
San Felipe
NM 87001
Ph: (505) 867-9616 | San Felipe Pueblo Health & Wellness Department
3 Cedar Rd.
San Felipe
NM 87001
Ph: (505) 867-9616 |
NPI Details:
| NPI Number | 1265511299 |
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| Provider Enumeration Date | 11/02/2006 |
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| Last Update Date | 07/15/2009 |
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Medicare PECOS Information:
| Medicare PECOS PAC ID | 9739460668 |
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| Medicare Enrollment ID | O20170106001735 |
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Medical Identifiers
Medical identifiers for San Felipe Pueblo Health & Wellness Department such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1265511299 | NPI | - | NPPES |
| 99624371 | Medicaid | NM | |
| 81271875 | Medicaid | NM | |
| 81271875 | Other | NM | PHARMACY |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (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.
San Felipe Pueblo Health & Wellness Department acts as a billing entity for following providers:
| Provider Name | Lisa Akerson |
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| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
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| Provider Identifiers | NPI Number: 1053713644
PECOS PAC ID: 1153686522
Enrollment ID: I20180606000880 |
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