Dr Alisa Clark Illescas, MD in Albuquerque, NM

Dr Alisa Clark Illescas, MD is a medicare enrolled "Internal Medicine" physician in Albuquerque, New Mexico. Her current practice location is 1100 Central Ave Se, Albuquerque, New Mexico. You can reach out to her office (for appointments etc.) via phone at (505) 724-6124.

Dr Alisa Clark Illescas is licensed to practice in New Mexico (license number MD2023-0490) 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 1972131159.

Contact Information

	Dr Alisa Clark Illescas, MD
	1100 Central Ave Se, Albuquerque, NM 87106-4930
	(505) 724-6124
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Alisa Clark Illescas
Gender	Female
Speciality	Internal Medicine
Location	1100 Central Ave Se, Albuquerque, 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: 1972131159
Provider Enumeration Date: 04/01/2020
Last Update Date: 07/31/2024

Medicare PECOS Information:

PECOS PAC ID: 2668898669
Enrollment ID: I20230816004151

Medical Identifiers

Medical identifiers for Dr Alisa Clark Illescas such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1972131159	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	MD2023-0490 (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 Alisa Clark Illescas allows following entities to bill medicare on her behalf.

Entity Name	Presbyterian Healthcare Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1104802354 PECOS PAC ID: 9234041708 Enrollment ID: O20031103000603

Entity Name	Hospitalist Medicine Physicians Of Texas Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1629307095 PECOS PAC ID: 3476688318 Enrollment ID: O20151019001400

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 Alisa Clark Illescas 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 Alisa Clark Illescas, MD Po Box 26666, Provider Enrollment, Albuquerque, NM 87125-6666 Ph: (505) 923-6770	Dr Alisa Clark Illescas, MD 1100 Central Ave Se, Albuquerque, NM 87106-4930 Ph: (505) 724-6124

Reviews and Comments

Internal Medicine Doctors in Albuquerque, NM

Dr. Alberto Aguayo Rico, M.D, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 401 San Mateo Blvd Se, Albuquerque, NM 87108 Phone: 505-462-7333 Fax: 505-462-7440
Peter Guido, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 4700 Jefferson St Ne, Ste 800, Albuquerque, NM 87109 Phone: 505-872-6000 Fax: 505-872-6003
Kenneth A Bell, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2901 Transport St Se, Albuquerque, NM 87106 Phone: 505-262-7110 Fax: 505-262-7308
Joseph F. Oser, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1501 San Pedro Dr Se, Albuquerque, NM 87108 Phone: 505-265-1711
Dr. Stanley Zissman Berman, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 7416 Vista Del Arroyo Ave Ne, Albuquerque, NM 87109 Phone: 505-884-7270
Huyentrang Vu, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: Unm Hospital Internal Medicine, 2211 Lomas Blvd Ne, Albuquerque, NM 87131 Phone: 505-272-6225
Tamara Goodman, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 4901 Lang Ave Ne, Albuquerque, NM 87109 Phone: 505-842-8171

Dr Alisa Clark Illescas, MD - Medicare Internal Medicine in Albuquerque, NM