Zia Primary Care, Llc in Edgewood, NM - Medicare Family Medicine

Zia Primary Care, Llc is a medicare enrolled primary clinic (Family Medicine) in Edgewood, New Mexico. The current practice location for Zia Primary Care, Llc is 104 Quail Trl Ste B, Edgewood, New Mexico. For appointments, you can reach them via phone at (505) 926-9800. The mailing address for Zia Primary Care, Llc is 104 Quail Trl Ste B, Edgewood, New Mexico and phone number is (505) 926-9800.

Zia Primary Care, Llc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1831802230. 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) 926-9800.

Contact Information

	Zia Primary Care, Llc
	104 Quail Trl Ste B Edgewood NM 87015-7197
	(505) 926-9800
	Not Available

Map and Direction

Primary Care Clinic Profile

Full Name	Zia Primary Care, Llc
Speciality	Family Medicine
Location	104 Quail Trl Ste B, Edgewood, New Mexico
Authorized Official Name and Position	Ashley Autrey (CREDENTIALING)
Authorized Official Contact	5052491369
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Zia Primary Care, Llc 104 Quail Trl Ste B Edgewood NM 87015-7197 Ph: (505) 926-9800	Zia Primary Care, Llc 104 Quail Trl Ste B Edgewood NM 87015-7197 Ph: (505) 926-9800

NPI Details:

NPI Number	1831802230
Provider Enumeration Date	12/30/2022
Last Update Date	01/28/2023

Medicare PECOS Information:

Medicare PECOS PAC ID	6103290606
Medicare Enrollment ID	O20230324000241

Medical Identifiers

Medical identifiers for Zia Primary Care, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1831802230	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	(* (Not Available))	Primary
363LA2200X	Nurse Practitioner - Adult Health	(* (Not Available))	Secondary
363LF0000X	Nurse Practitioner - Family	(* (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. Zia Primary Care, Llc acts as a billing entity for following providers:

Provider Name	Jodi A Dettman
Provider Type	Practitioner - Nurse Practitioner
Provider Identifiers	NPI Number: 1720269178 PECOS PAC ID: 4082791702 Enrollment ID: I20080404000716

Provider Name	Lindsay Sue Cerrone
Provider Type	Practitioner - Nurse Practitioner
Provider Identifiers	NPI Number: 1861028102 PECOS PAC ID: 7719393495 Enrollment ID: I20210303002312

Reviews and Comments

Family Medicine in Edgewood, NM

Sandia Mountain Medical, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1851 Old Us 66, Unit 1, Edgewood, NM 87015 Phone: 505-286-2396 Fax: 505-286-2398
Cerrone Family Healthcare, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 104 Quail Trl Ste B, Edgewood, NM 87015 Phone: 505-926-9800
First Choice Community Healthcare, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 7 Municipal Way, Edgewood, NM 87015 Phone: 505-281-3406 Fax: 505-224-8737

Zia Primary Care, Llc - Medicare Primary Care in Edgewood, NM