Alyssa Briana Mirabal, MD in Edgewood, NM

Alyssa Briana Mirabal, MD is a medicare enrolled "Family Medicine" physician in Edgewood, New Mexico. Her current practice location is 1851 Old Us 66, Edgewood, New Mexico. You can reach out to her office (for appointments etc.) via phone at (505) 286-2396.

Alyssa Briana Mirabal is licensed to practice in New Mexico (license number MD2023-0130) 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 1043773005.

Contact Information

	Alyssa Briana Mirabal, MD
	1851 Old Us 66, Edgewood, NM 87015-7200
	(505) 286-2396
	(505) 272-8045

Map and Direction

Physician's Profile

Full Name	Alyssa Briana Mirabal
Gender	Female
Speciality	Family Medicine
Location	1851 Old Us 66, Edgewood, 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: 1043773005
Provider Enumeration Date: 04/08/2019
Last Update Date: 07/27/2023

Medicare PECOS Information:

PECOS PAC ID: 9234466228
Enrollment ID: I20230508002225

Medical Identifiers

Medical identifiers for Alyssa Briana Mirabal such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1043773005	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	MD2023-0130 (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. Alyssa Briana Mirabal allows following entities to bill medicare on her behalf.

Entity Name	Mcleod Medical Centers Of Nm Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1700393782 PECOS PAC ID: 5092075531 Enrollment ID: O20180201001863

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. Alyssa Briana Mirabal 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
Alyssa Briana Mirabal, MD 1851 Old Us 66, Edgewood, NM 87015-7200 Ph: (505) 286-2396	Alyssa Briana Mirabal, MD 1851 Old Us 66, Edgewood, NM 87015-7200 Ph: (505) 286-2396

Reviews and Comments

Family Medicine Doctors in Edgewood, NM

Saverio Joseph Sava, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 7 Municipal Way, Edgewood, NM 87015 Phone: 505-281-3406 Fax: 505-224-8737
Monica Briones, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 7 Municipal Way, Edgewood, NM 87015 Phone: 505-281-3406
Harry Schnee Messec, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1851 Old Us 66, Edgewood, NM 87015 Phone: 505-286-2396 Fax: 505-286-2398
Mrs. Lindsey Lucero, FNP-C Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2 Andy Ct, Edgewood, NM 87015 Phone: 505-814-3232

Alyssa Briana Mirabal, MD - Medicare Family Medicine in Edgewood, NM