Kristina Sycamore, MD in Shiprock, NM - Medicare Emergency Medicine

Kristina Sycamore, MD is a medicare enrolled "Emergency Medicine" physician in Shiprock, New Mexico. Her current practice location is Hwy 491 North, Shiprock, New Mexico. You can reach out to her office (for appointments etc.) via phone at (505) 368-6001.

Kristina Sycamore is licensed to practice in New Mexico (license number MD2016-0319) 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 1699193813.

Contact Information

	Kristina Sycamore, MD
	Hwy 491 North, Shiprock, NM 87420
	(505) 368-6001
	Not Available

Map and Direction

Physician's Profile

Full Name	Kristina Sycamore
Gender	Female
Speciality	Emergency Medicine
Location	Hwy 491 North, Shiprock, 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: 1699193813
Provider Enumeration Date: 04/03/2014
Last Update Date: 07/08/2021

Medicare PECOS Information:

PECOS PAC ID: 0446479976
Enrollment ID: I20170905002996

Medical Identifiers

Medical identifiers for Kristina Sycamore such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1699193813	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	19013 (New Hampshire)	Secondary
207P00000X	Emergency Medicine	53918 (Arizona)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	138248 (New Mexico)	Secondary
207P00000X	Emergency Medicine	MD2016-0319 (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. Kristina Sycamore allows following entities to bill medicare on her behalf.

Entity Name	Emergency Professional Services Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1518984210 PECOS PAC ID: 6901707272 Enrollment ID: O20040119000693

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. Kristina Sycamore 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
Kristina Sycamore, MD Po Box 160, Shiprock, NM 87420-0160 Ph: (505) 368-6001	Kristina Sycamore, MD Hwy 491 North, Shiprock, NM 87420 Ph: (505) 368-6001

Reviews and Comments

Emergency Medicine Doctors in Shiprock, NM

Jeanie K Ringelberg, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: Us Hwy 491 North, Shiprock, NM 87420 Phone: 505-368-6001 Fax: 505-368-7011
Dr. Jonathan Noah Jordahl, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: Us Hwy 491 North, Shiprock, NM 87420 Phone: 505-368-6001
Raymundo Torres, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: Us Hwy 491 N, Shiprock, NM 87420 Phone: 505-368-6001 Fax: 505-368-7011
Brandon Ross Hill, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: Us Hwy 491 North, Shiprock, NM 87420 Phone: 505-368-6001
Patricia A Breeden, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: Us Hwy 491 North, Shiprock, NM 87420 Phone: 505-368-6020 Fax: 505-368-6431
Dr. Harry George Bishara, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: Us Hwy 491 North, Shiprock, NM 87420 Phone: 505-368-6401 Fax: 505-368-6431
Nathan Daniel Henrie, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: Us Hwy 491 North, Shiprock, NM 87420 Phone: 505-368-6001 Fax: 505-368-7011

Kristina Sycamore, MD - Medicare Emergency Medicine in Shiprock, NM