Clarissa Gilbert, FCNP is a medicare enrolled "Nurse Practitioner - Family" physician in Farmington, New Mexico. Her current practice location is
622 W Maple St Ste B, Farmington, New Mexico. You can reach out to her office (for appointments etc.) via phone at
(505) 327-4867.
Clarissa Gilbert is licensed to practice in New Mexico (license number 66772) 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 1356093983.
Physician's Profile
Full Name | Clarissa Gilbert |
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Gender | Female |
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Speciality | Nurse Practitioner - Family |
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Location | 622 W Maple St Ste B, Farmington, 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: 1356093983
- Provider Enumeration Date: 01/25/2022
- Last Update Date: 04/12/2022
Medicare PECOS Information:
- PECOS PAC ID: 6901293588
- Enrollment ID: I20220429000063
Medical Identifiers
Medical identifiers for Clarissa Gilbert such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1356093983 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | 66772 (New Mexico) | Secondary |
363LF0000X | Nurse Practitioner - Family | 66772 (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. Clarissa Gilbert allows following entities to bill medicare on her behalf.
Entity Name | San Juan Medical Group Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1609809235 PECOS PAC ID: 2264468503 Enrollment ID: O20050708000819 |
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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. Clarissa Gilbert 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 |
Clarissa Gilbert, FCNP 622 W Maple St Ste B, Farmington, NM 87401-6589 Ph: (505) 327-4867 | Clarissa Gilbert, FCNP 622 W Maple St Ste B, Farmington, NM 87401-6589 Ph: (505) 327-4867 |
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