Graciela Ponce, LPCC is a medicare enrolled "Counselor - Professional" provider in La Mesa, New Mexico. Her current practice location is
18420 S Highway 28, La Mesa, New Mexico. You can reach out to her office (for appointments etc.) via phone at
(575) 233-3830.
Graciela Ponce is licensed to practice in New Mexico (license number CTB-2024-0609) 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 1205545662.
Healthcare Provider's Profile
Full Name | Graciela Ponce |
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Gender | Female |
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Speciality | Counselor - Professional |
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Location | 18420 S Highway 28, La Mesa, 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: 1205545662
- Provider Enumeration Date: 11/15/2022
- Last Update Date: 10/29/2024
Medicare PECOS Information:
- PECOS PAC ID: 3678007200
- Enrollment ID: I20241105002935
Medical Identifiers
Medical identifiers for Graciela Ponce such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1205545662 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | CMH0204121 (New Mexico) | Secondary |
101YP2500X | Counselor - Professional | CTB-2024-0609 (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. Graciela Ponce allows following entities to bill medicare on her behalf.
Entity Name | La Clinica De Familia, Incorporated |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1528424397 PECOS PAC ID: 6305745191 Enrollment ID: O20031231000076 |
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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. Graciela Ponce 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 |
Graciela Ponce, LPCC 385 Calle De Alegra Ste A, Las Cruces, NM 88005-3423 Ph: (575) 526-1105 | Graciela Ponce, LPCC 18420 S Highway 28, La Mesa, NM 88044-9605 Ph: (575) 233-3830 |
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