Dr Ann K Church, MD is a medicare enrolled "Obstetrics & Gynecology - Gynecology" physician in Grants, New Mexico. She went to Sanford School Of Medicine Of University Of South Dakota and graduated in 1986 and has 38 years of diverse experience with area of expertise as Obstetrics/gynecology. She is a member of the group practice Osf Multi-specialty Group, St Mary Medical Center and her current practice location is
833 E Roosevelt Ave, Grants, New Mexico. You can reach out to her office (for appointments etc.) via phone at
(505) 287-6500.
Dr Ann K Church is licensed to practice in New Mexico (license number NM2010-0079) 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 1295700912.
Physician's Profile
Full Name | Dr Ann K Church |
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Gender | Female |
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Speciality | Obstetrics/gynecology |
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Experience | 38 Years |
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Location | 833 E Roosevelt Ave, Grants, New Mexico |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Dr Ann K Church attended and graduated from Sanford School Of Medicine Of University Of South Dakota in 1986
NPI Data:
- NPI Number: 1295700912
- Provider Enumeration Date: 02/17/2006
- Last Update Date: 03/07/2023
Medicare PECOS Information:
- PECOS PAC ID: 2264465830
- Enrollment ID: I20200320002016
Medical Identifiers
Medical identifiers for Dr Ann K Church such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1295700912 | NPI | - | NPPES |
905524 | Other | | ABOG |
NM2010-0079 | Other | NM | MEDICAL LICENSE |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207VX0000X | Obstetrics & Gynecology - Obstetrics | NM2010-0079 (New Mexico) | Secondary |
207VG0400X | Obstetrics & Gynecology - Gynecology | NM2010-0079 (New Mexico) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Osf Multi-specialty Group | 3678889789 | 1552 |
St Mary Medical Center | 8628038015 | 50 |
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 Ann K Church allows following entities to bill medicare on her behalf.
Entity Name | St Mary Medical Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1962467670 PECOS PAC ID: 8628038015 Enrollment ID: O20041011000420 |
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Entity Name | Osf Healthcare System |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1679606073 PECOS PAC ID: 4284541806 Enrollment ID: O20070503000249 |
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Entity Name | Osf Healthcare System |
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Entity Type | Part B Supplier - Hospital Department(s) |
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Entity Identifiers | NPI Number: 1811016124 PECOS PAC ID: 4284541806 Enrollment ID: O20070504000101 |
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Entity Name | Osf Multi-specialty Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1922445527 PECOS PAC ID: 3678889789 Enrollment ID: O20150904000279 |
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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 Ann K Church 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 Ann K Church, MD 833 E Roosevelt Ave, Grants, NM 87020-2115 Ph: (505) 287-6500 | Dr Ann K Church, MD 833 E Roosevelt Ave, Grants, NM 87020-2115 Ph: (505) 287-6500 |
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