Dr Alicia L Gonzales, MD is a medicare enrolled "Family Medicine" physician in Taos Ski Valley, New Mexico. Her current practice location is
5 Firehouse Lane, Taos Ski Valley, New Mexico. You can reach out to her office (for appointments etc.) via phone at
(575) 776-8421.
Dr Alicia L Gonzales is licensed to practice in New Mexico (license number MD2023-0423) 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 1255969358.
Physician's Profile
Full Name | Dr Alicia L Gonzales |
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Gender | Female |
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Speciality | Family Medicine |
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Location | 5 Firehouse Lane, Taos Ski Valley, 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: 1255969358
- Provider Enumeration Date: 04/01/2020
- Last Update Date: 07/31/2023
Medicare PECOS Information:
- PECOS PAC ID: 7911386628
- Enrollment ID: I20230911002495
Medical Identifiers
Medical identifiers for Dr Alicia L Gonzales such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1255969358 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | MD2023-0423 (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. Dr Alicia L Gonzales allows following entities to bill medicare on her behalf.
Entity Name | Presbyterian Healthcare Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1104802354 PECOS PAC ID: 9234041708 Enrollment ID: O20031103000603 |
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Entity Name | Timothy D Peterson, Md Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1073818555 PECOS PAC ID: 5799805040 Enrollment ID: O20111207000472 |
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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. Dr Alicia L Gonzales 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 |
Dr Alicia L Gonzales, MD 145 Mesa Verde St, Santa Fe, NM 87501-1729 Ph: (575) 770-3481 | Dr Alicia L Gonzales, MD 5 Firehouse Lane, Taos Ski Valley, NM 87525 Ph: (575) 776-8421 |
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