Amy Jo Dondanville, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Ranchos De Taos, New Mexico. Her current practice location is
16 Camino De Los Vecinos, Ranchos De Taos, New Mexico. You can reach out to her office (for appointments etc.) via phone at
(575) 224-2710.
Amy Jo Dondanville is licensed to practice in New Mexico (license number C-10400) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1245606649.
Healthcare Provider's Profile
Full Name | Amy Jo Dondanville |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 16 Camino De Los Vecinos, Ranchos De Taos, New Mexico |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1245606649
- Provider Enumeration Date: 08/19/2015
- Last Update Date: 12/14/2021
Medicare PECOS Information:
- PECOS PAC ID: 0749514420
- Enrollment ID: I20190701000185
Medical Identifiers
Medical identifiers for Amy Jo Dondanville such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1245606649 | NPI | - | NPPES |
1245606649 | Other | | TYPE 1 NPI |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | X-09178 (New Mexico) | Secondary |
1041C0700X | Social Worker - Clinical | C-10400 (New Mexico) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Amy Jo Dondanville is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Amy Jo Dondanville, LCSW Po Box 537, Taos, NM 87571-0537 Ph: (575) 224-2710 | Amy Jo Dondanville, LCSW 16 Camino De Los Vecinos, Ranchos De Taos, NM 87557 Ph: (575) 224-2710 |
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