Dr Petra Dzenyuy Lamla-laban, DNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" physician in Albuquerque, New Mexico. Her current practice location is
7850 Jefferson St Ne Ste 300, Albuquerque, New Mexico. You can reach out to her office (for appointments etc.) via phone at
(505) 884-1114.
Dr Petra Dzenyuy Lamla-laban is licensed to practice in New Mexico (license number 70769) 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 1104539428.
Physician's Profile
Full Name | Dr Petra Dzenyuy Lamla-laban |
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Gender | Female |
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Speciality | Nurse Practitioner - Psychiatric/mental Health |
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Location | 7850 Jefferson St Ne Ste 300, Albuquerque, New Mexico |
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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: 1104539428
- Provider Enumeration Date: 01/02/2023
- Last Update Date: 06/18/2024
Medicare PECOS Information:
- PECOS PAC ID: 6800268194
- Enrollment ID: I20230215000566
Medical Identifiers
Medical identifiers for Dr Petra Dzenyuy Lamla-laban such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1104539428 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2084P0802X | Psychiatry & Neurology - Addiction Psychiatry | 70769 (New Mexico) | Secondary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 70769 (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 Petra Dzenyuy Lamla-laban allows following entities to bill medicare on her behalf.
Entity Name | Sage Neuroscience Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1578644415 PECOS PAC ID: 5395840383 Enrollment ID: O20070419000586 |
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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 Petra Dzenyuy Lamla-laban 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 Petra Dzenyuy Lamla-laban, DNP 2713 Bayas Rd Se, Rio Rancho, NM 87124-2971 Ph: (505) 369-0858 | Dr Petra Dzenyuy Lamla-laban, DNP 7850 Jefferson St Ne Ste 300, Albuquerque, NM 87109-4314 Ph: (505) 884-1114 |
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