Consuelo Carmona, MD - Medicare Obstetrics/gynecology in Albuquerque, NM

Consuelo Carmona, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Albuquerque, New Mexico. She went to University Of Kansas School Of Med (kc/wich/sal) and graduated in 1984 and has 40 years of diverse experience with area of expertise as Obstetrics/gynecology. She is a member of the group practice Womens Specialists Of New Mexico Ltd and her current practice location is 1001 Coal Ave Se, Albuquerque, New Mexico. You can reach out to her office (for appointments etc.) via phone at (505) 843-6168.

Consuelo Carmona is licensed to practice in New Mexico (license number 87-319) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1093889537.

Contact Information

Consuelo Carmona, MD
1001 Coal Ave Se,
Albuquerque, NM 87106-5205
(505) 843-6168
(505) 792-1978

Map and Direction




Physician's Profile

Full NameConsuelo Carmona
GenderFemale
SpecialityObstetrics/gynecology
Experience40 Years
Location1001 Coal Ave Se, Albuquerque, New Mexico
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Consuelo Carmona attended and graduated from University Of Kansas School Of Med (kc/wich/sal) in 1984
  NPI Data:
  • NPI Number: 1093889537
  • Provider Enumeration Date: 11/17/2006
  • Last Update Date: 07/21/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 1759462617
  • Enrollment ID: I20110407000030

Medical Identifiers

Medical identifiers for Consuelo Carmona such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1093889537NPI-NPPES
08813MedicaidNM

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207V00000XObstetrics & Gynecology 87-319 (New Mexico)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Womens Specialists Of New Mexico Ltd539565789433

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. Consuelo Carmona allows following entities to bill medicare on her behalf.
Entity NameWomens Specialists Of New Mexico Ltd
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1063418960
PECOS PAC ID: 5395657894
Enrollment ID: O20031103000691

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. Consuelo Carmona 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
Consuelo Carmona, MD
6320 Riverside Plaza Ln Nw Ste B,
Albuquerque, NM 87120-1710

Ph: (505) 843-6168
Consuelo Carmona, MD
1001 Coal Ave Se,
Albuquerque, NM 87106-5205

Ph: (505) 843-6168

Reviews and Comments


Obstetrics & Gynecology Doctors in Albuquerque, NM

Patrick R Mcginnis, MD
Obstetrics & Gynecology
Medicare: Not Enrolled in Medicare
Practice Location: 5150 Journal Center Blvd Ne, Albuquerque, NM 87109
Phone: 505-727-7600    Fax: 505-727-7640
Kelly Drescher, MD
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 201 Cedar St Se Ste 5600, Albuquerque, NM 87106
Phone: 505-563-6000    Fax: 505-563-6060
Dr. Jennifer Coffey Gill, MD
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: Presbyterian Healthcare Services, 6100 Pan American Freeway Ste 450, Albuquerque, NM 87109
Phone: 505-823-8787    Fax: 505-792-1978
Jacquelyn A Blackstone, DO
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 2211 Lomas Blvd Ne, Albuquerque, NM 87106
Phone: 505-272-3120    Fax: 505-272-8060
Sophie Peterson, M.D.
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 6100 Pan American Freeway, Ste 450, Albuquerque, NM 87109
Phone: 505-823-8787    Fax: 505-823-8788
Douglas J Krell, MD
Obstetrics & Gynecology
Medicare: Medicare Enrolled
Practice Location: 4705 Montgomery Ne, Suite 301-302, Albuquerque, NM 87109
Phone: 505-254-6500    Fax: 505-254-6532
Krista M Wills, MD
Obstetrics & Gynecology
Medicare: Not Enrolled in Medicare
Practice Location: 201 Cedar St Se Ste 507, Pmg Ob Hospitalist, Albuquerque, NM 87106
Phone: 505-563-6381    Fax: 505-563-6380

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).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.