Dr Paula Renee Mora, MD in Gallup, NM - Medicare General Practice

Dr Paula Renee Mora, MD is a medicare enrolled "General Practice" physician in Gallup, New Mexico. Her current practice location is 516 E Nizhoni Blvd, Gallup, New Mexico. You can reach out to her office (for appointments etc.) via phone at (505) 722-1482.

Dr Paula Renee Mora is licensed to practice in Arizona (license number 29216) 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 1316915051.

Contact Information

	Dr Paula Renee Mora, MD
	516 E Nizhoni Blvd, Gallup, NM 87301-5748
	(505) 722-1482
	(505) 722-1629

Map and Direction

Physician's Profile

Full Name	Dr Paula Renee Mora
Gender	Female
Speciality	General Practice
Location	516 E Nizhoni Blvd, Gallup, 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: 1316915051
Provider Enumeration Date: 03/09/2006
Last Update Date: 02/04/2014

Medicare PECOS Information:

PECOS PAC ID: 6507004322
Enrollment ID: I20130605000714

Medical Identifiers

Medical identifiers for Dr Paula Renee Mora such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1316915051	NPI	-	NPPES
21657025	Medicaid	NM
769614	Other	NM	AHCCCS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208D00000X	General Practice	29216 (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 Paula Renee Mora allows following entities to bill medicare on her behalf.

Entity Name	Dhhs,phs,naihs, Gallup Indian Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1225002322 PECOS PAC ID: 3173436409 Enrollment ID: O20031111000840

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 Paula Renee Mora 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 Paula Renee Mora, MD 516 E Nizhoni Blvd, Gallup, NM 87301-5748 Ph: (505) 722-1482	Dr Paula Renee Mora, MD 516 E Nizhoni Blvd, Gallup, NM 87301-5748 Ph: (505) 722-1482

Reviews and Comments

General Practice Doctors in Gallup, NM

Dr. Cleora Shunkamolah, M.D. General Practice Medicare: Accepting Medicare Assignments Practice Location: 516 E Nizhoni Blvd, Gallup, NM 87301 Phone: 505-722-1000
Dr. Catherine Marie Radovich, M.D. General Practice Medicare: Medicare Enrolled Practice Location: 516 Nizhoni Blvd, Gallup Indian Medical Center, Gallup, NM 87301 Phone: 505-722-1000
Dr. Michael Eric Ivory, DO General Practice Medicare: Not Enrolled in Medicare Practice Location: 516 E. Nizhoni Blvd., Gallup, NM 87301 Phone: 505-722-1000 Fax: 505-726-8740
Dr. Jeffrey Joseph Hawker, M.D. General Practice Medicare: Accepting Medicare Assignments Practice Location: 516 E Nizhoni Blvd, Gallup, NM 87301 Phone: 505-722-1000 Fax: 540-224-1933

Dr Paula Renee Mora, MD - Medicare General Practice in Gallup, NM