Theresa Ortiz, LMSW - Medicare Counselor in Bernalillo, NM

Theresa Ortiz, LMSW is a medicare enrolled "Counselor - Mental Health" provider in Bernalillo, New Mexico. Her current practice location is 1043 Highway 313, Bernalillo, New Mexico. You can reach out to her office (for appointments etc.) via phone at (505) 867-3351.

Theresa Ortiz is licensed to practice in New Mexico (license number M-08152) 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 1104236694.

Contact Information

Theresa Ortiz, LMSW
1043 Highway 313,
Bernalillo, NM 87004-6912
(505) 867-3351
(505) 867-3514

Map and Direction


Healthcare Provider's Profile

Full NameTheresa Ortiz
GenderFemale
SpecialityCounselor - Mental Health
Location1043 Highway 313, Bernalillo, New Mexico
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1104236694
  • Provider Enumeration Date: 05/06/2014
  • Last Update Date: 05/06/2014
  Medicare PECOS Information:
  • PECOS PAC ID: 7719423128
  • Enrollment ID: I20240722003135

Medical Identifiers

Medical identifiers for Theresa Ortiz such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1104236694NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YM0800XCounselor - Mental Health M-08152 (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. Theresa Ortiz allows following entities to bill medicare on her behalf.
Entity NamePueblo Of Isleta
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1194738328
PECOS PAC ID: 9739080631
Enrollment ID: O20040616000379

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. Theresa Ortiz 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 AddressPractice Location Address
Theresa Ortiz, LMSW
10619 Virgo St Nw,
Albuquerque, NM 87114-3661

Ph: (505) 366-4942
Theresa Ortiz, LMSW
1043 Highway 313,
Bernalillo, NM 87004-6912

Ph: (505) 867-3351

Reviews and Comments


Counselor in Bernalillo, NM

Lori Martinez,
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 255a S Camino Del Pueblo, Bernalillo, NM 87004
Phone: 505-867-2356    Fax: 505-867-2357
Mrs. Madeleine Noel Stevens, LPCC, LPAT
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 301 Camino Del Pueblo, Valle Del Sol, Bernalillo, NM 87004
Phone: 505-867-2383    Fax: 505-867-7273
Linda Menzel, LPCC
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 872 S Camino Del Pueblo, Bernalillo, NM 87004
Phone: 505-867-2383    Fax: 505-867-7293
Maria C. Gonzales,
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 255a S Camino Del Pueblo, Bernalillo, NM 87004
Phone: 505-867-2356    Fax: 505-867-2357
Nissa Martinez,
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 872 S Camino Del Pueblo, Bernalillo, NM 87004
Phone: 505-867-2383    Fax: 505-867-7293
Evangelina Lopez, CDA
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 255a S Camino Del Pueblo, Bernalillo, NM 87004
Phone: 505-867-2356    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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