Lee C Caruana, MD - Medicare Family Medicine in Raton, NM

Lee C Caruana, MD is a medicare enrolled "Family Medicine" physician in Raton, New Mexico. His current practice location is 411 S 3rd St, Raton, New Mexico. You can reach out to his office (for appointments etc.) via phone at (575) 445-3626.

Lee C Caruana is licensed to practice in New Mexico (license number 90-163) 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 1295778710.

Contact Information

Lee C Caruana, MD
411 S 3rd St,
Raton, NM 87740-4005
(575) 445-3626
(575) 445-8649

Map and Direction




Physician's Profile

Full NameLee C Caruana
GenderMale
SpecialityFamily Medicine
Location411 S 3rd St, Raton, New Mexico
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1295778710
  • Provider Enumeration Date: 06/13/2006
  • Last Update Date: 02/05/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 4284647371
  • Enrollment ID: I20080819000294

Medical Identifiers

Medical identifiers for Lee C Caruana such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1295778710NPI-NPPES
000025684MedicaidNM

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 90-163 (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. Lee C Caruana allows following entities to bill medicare on his behalf.
Entity NameSouth Central Colfax County Special Hospital District
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1215163639
PECOS PAC ID: 6800070707
Enrollment ID: O20111019000475

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. Lee C Caruana 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 AddressPractice Location Address
Lee C Caruana, MD
411 South 3rd St,
Raton, NM 87740-4041

Ph: (575) 445-3626
Lee C Caruana, MD
411 S 3rd St,
Raton, NM 87740-4005

Ph: (575) 445-3626

Reviews and Comments


Family Medicine Doctors in Raton, NM

Dr. Timothy L. Brininger, M.D.
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Medicare: Accepting Medicare Assignments
Practice Location: 203 Hospital Dr, Raton, NM 87740
Phone: 575-445-7755    Fax: 575-445-7743
Dr. Ronald S Lotoc, MD
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Medicare: Accepting Medicare Assignments
Practice Location: 203 Hospital Dr, Raton, NM 87740
Phone: 575-445-7774    Fax: 575-445-7742
Dr. Douglas Craig Smith, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 203 Hospital Dr, Raton, NM 87740
Phone: 575-445-3661    Fax: 575-445-7737
Dr. Donald Primer, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 203 Hospital Dr, Raton, NM 87740
Phone: 575-445-7720    Fax: 575-445-7737
Dr. Christopher Johnson, D.O.
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 190 Hospital Dr, Raton, NM 87740
Phone: 505-445-0279    Fax: 505-445-0285

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.