Ms Theresa Mae Nez, LISW in Gallup, NM - Medicare Social Worker Provider

Ms Theresa Mae Nez, LISW is a medicare enrolled "Social Worker - Clinical" provider in Gallup, New Mexico. Her current practice location is 516 Nizhoni Blvd, Gallup, New Mexico. You can reach out to her office (for appointments etc.) via phone at (505) 722-1000.

Ms Theresa Mae Nez is licensed to practice in New Mexico (license number I-06291) 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 1902130313.

Contact Information

	Ms Theresa Mae Nez, LISW
	516 Nizhoni Blvd, Gallup, NM 87301-5748
	(505) 722-1000
	(505) 722-1396

Map and Direction

Healthcare Provider's Profile

Full Name	Ms Theresa Mae Nez
Gender	Female
Speciality	Social Worker - Clinical
Location	516 Nizhoni Blvd, Gallup, New Mexico
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1902130313
Provider Enumeration Date: 10/01/2009
Last Update Date: 10/01/2009

Medicare PECOS Information:

PECOS PAC ID: 8123165297
Enrollment ID: I20091021000692

Medical Identifiers

Medical identifiers for Ms Theresa Mae Nez such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1902130313	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	I-06291 (New Mexico)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Ms Theresa Mae Nez allows following entities to bill medicare on her behalf.

Entity Name	Dhhs Phs Naihs Crownpoint Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1114960093 PECOS PAC ID: 0143128041 Enrollment ID: O20031230000393

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. Ms Theresa Mae Nez 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
Ms Theresa Mae Nez, LISW Po Box 1337, Gallup, NM 87305-1337 Ph: (505) 722-1000	Ms Theresa Mae Nez, LISW 516 Nizhoni Blvd, Gallup, NM 87301-5748 Ph: (505) 722-1000

Reviews and Comments

Social Worker in Gallup, NM

Summer B Hogue, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 516 E Nizhoni Blvd, Gallup, NM 87301 Phone: 505-722-1000
Betty Sharon Spencer, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 516 E Nizhoni Blvd, Gallup, NM 87301 Phone: 505-722-1000 Fax: 928-697-4189
Tristan Glenn Keller, LISW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2025 E Aztec Ave, Gallup, NM 87301 Phone: 505-863-3828 Fax: 505-863-6612
Judy Martinez, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 516 E Nizhoni Blvd, Gallup, NM 87301 Phone: 505-722-1000
Sierra Rose Yazzie Asamoa-tutu, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 2025 E Aztec Ave, Gallup, NM 87301 Phone: 505-863-3120
Beverly Tamanini, LISW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 208 1/2 E Hill Ave, Gallup, NM 87301 Phone: 505-863-1930
Mr. Vernon Thomas Jaques, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 516 E. Nizhoni Blvd, Gallup, NM 87301 Phone: 505-722-1000 Fax: 928-697-4189

Ms Theresa Mae Nez, LISW - Medicare Clinical Social Worker in Gallup, NM