Dr Gorky Herrera, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Ajo, Arizona. His current practice location is
410 N Malacate St, Ajo, Arizona. You can reach out to his office (for appointments etc.) via phone at
(520) 387-5651.
Dr Gorky Herrera is licensed to practice in Arizona (license number 31471) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1740222025.
Physician's Profile
Full Name | Dr Gorky Herrera |
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Gender | Male |
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Speciality | Psychiatry & Neurology - Psychiatry |
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Location | 410 N Malacate St, Ajo, Arizona |
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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: 1740222025
- Provider Enumeration Date: 06/12/2006
- Last Update Date: 07/31/2024
Medicare PECOS Information:
- PECOS PAC ID: 2860391638
- Enrollment ID: I20031231000450
Medical Identifiers
Medical identifiers for Dr Gorky Herrera such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1740222025 | NPI | - | NPPES |
815417 | Medicaid | AZ | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2084P0805X | Psychiatry & Neurology - Geriatric Psychiatry | 31471 (Arizona) | Secondary |
2084P0800X | Psychiatry & Neurology - Psychiatry | 31471 (Arizona) | 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 Gorky Herrera allows following entities to bill medicare on his behalf.
Entity Name | Ajo Community Health Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1114037496 PECOS PAC ID: 3476441866 Enrollment ID: O20040308000777 |
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Entity Name | Denova Collaborative Health, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1609300854 PECOS PAC ID: 2466437736 Enrollment ID: O20040621001542 |
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Entity Name | Valle Del Sol Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1831344035 PECOS PAC ID: 8628019148 Enrollment ID: O20050516000299 |
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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 Gorky Herrera 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 Gorky Herrera, MD 410 N Malacate St, Ajo, AZ 85321-2254 Ph: (520) 387-5651 | Dr Gorky Herrera, MD 410 N Malacate St, Ajo, AZ 85321-2254 Ph: (520) 387-5651 |
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