Dr Gilberto Heredia Jr, MD in Albuquerque, NM

Dr Gilberto Heredia Jr, MD is a medicare enrolled "Family Medicine" physician in Albuquerque, New Mexico. He went to Baylor College Of Medicine and graduated in 1995 and has 29 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Optumcare New Mexico Llc and his current practice location is 2929 Coors Blvd Nw, Albuquerque, New Mexico. You can reach out to his office (for appointments etc.) via phone at (505) 839-2300.

Dr Gilberto Heredia Jr is licensed to practice in New Mexico (license number 98288) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1649299942.

Contact Information

	Dr Gilberto Heredia Jr, MD
	2929 Coors Blvd Nw, Albuquerque, NM 87120
	(505) 839-2300
	(505) 839-2303

Map and Direction

Physician's Profile

Full Name	Dr Gilberto Heredia Jr
Gender	Male
Speciality	Family Practice
Experience	29 Years
Location	2929 Coors Blvd Nw, Albuquerque, New Mexico
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Gilberto Heredia Jr attended and graduated from Baylor College Of Medicine in 1995

NPI Data:

NPI Number: 1649299942
Provider Enumeration Date: 07/18/2006
Last Update Date: 10/17/2019

Medicare PECOS Information:

PECOS PAC ID: 4880590850
Enrollment ID: I20051107000646

Medical Identifiers

Medical identifiers for Dr Gilberto Heredia Jr such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1649299942	NPI	-	NPPES
S8635	Medicaid	NM
NM009956	Other	NM	BCBS NUMBER

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	98288 (New Mexico)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Compassus Home Health Albuquerque Nm	Albuquerque, NM	Home health agency

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Optumcare New Mexico Llc	9032125810	66

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 Gilberto Heredia Jr allows following entities to bill medicare on his behalf.

Entity Name	White Sands Family Practice Clinic, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1972528891 PECOS PAC ID: 6901702976 Enrollment ID: O20031210000463

Entity Name	Optumcare New Mexico Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1124053210 PECOS PAC ID: 9032125810 Enrollment ID: O20060302000704

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 Gilberto Heredia Jr 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 Gilberto Heredia Jr, MD Po Box 26028, Clinician Services, Albuquerque, NM 87125-6028 Ph: (052) 627-2155	Dr Gilberto Heredia Jr, MD 2929 Coors Blvd Nw, Albuquerque, NM 87120 Ph: (505) 839-2300

Reviews and Comments

Family Medicine Doctors in Albuquerque, NM

Anne Jones, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 8300 Constitution Ave Ne, Albuquerque, NM 87110 Phone: 505-272-2700
Dr. Matias James Vega, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1217 1st St Nw, Albuquerque Health Care For The Homeless, Albuquerque, NM 87102 Phone: 505-242-4644 Fax: 505-242-3531
Bill Daugherty, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 5901 Harper Dr Ne, Pmg Urgent Care, Albuquerque, NM 87109 Phone: 505-823-8233 Fax: 505-823-8059
Mr. John A Bond, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4420 Irving Blvd Nw, Albuquerque, NM 87114 Phone: 505-727-6300 Fax: 505-727-9588
Margaret Peggy Spencer, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1501 San Pedro Dr Se, Albuquerque, NM 87108 Phone: 505-265-1711 Fax: 505-256-6414
Daniel L. Stulberg, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: Msc 09 5040, 1 University Of New Mexico, Albuquerque, NM 87131 Phone: 505-272-2165
Carrie A Irvin, PA-C Family Medicine Medicare: Medicare Enrolled Practice Location: 1524 Eubank Blvd Ne Ste 6, Albuquerque, NM 87112 Phone: 505-503-8806 Fax: 888-503-8511

Dr Gilberto Heredia Jr, MD - Medicare Family Practice in Albuquerque, NM