Marcus T Higi, MD - Medicare Family Practice in Albuquerque, NM

Marcus T Higi, MD is a medicare enrolled "Family Medicine" physician in Albuquerque, New Mexico. He went to University Of North Carolina At Chapel Hill School Of Medicine and graduated in 1995 and has 29 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Abq Integrative Family Medicine Llc and his current practice location is 4123 Montgomery Blvd Ne, Albuquerque, New Mexico. You can reach out to his office (for appointments etc.) via phone at (505) 226-2300.

Marcus T Higi is licensed to practice in Colorado (license number 39495) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1437125200.

Contact Information

Marcus T Higi, MD
4123 Montgomery Blvd Ne,
Albuquerque, NM 87109-1102
(505) 226-2300
(833) 996-1648

Map and Direction




Physician's Profile

Full NameMarcus T Higi
GenderMale
SpecialityFamily Practice
Experience29 Years
Location4123 Montgomery Blvd Ne, Albuquerque, New Mexico
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Marcus T Higi attended and graduated from University Of North Carolina At Chapel Hill School Of Medicine in 1995
  NPI Data:
  • NPI Number: 1437125200
  • Provider Enumeration Date: 02/23/2006
  • Last Update Date: 10/01/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 4486685740
  • Enrollment ID: I20110215001124

Medical Identifiers

Medical identifiers for Marcus T Higi such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1437125200NPI-NPPES
51237261MedicaidCO
1437125200OtherNPI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 39495 (Colorado)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Lovelace Medical CenterAlbuquerque, NMHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Abq Integrative Family Medicine Llc26688047822

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. Marcus T Higi allows following entities to bill medicare on his behalf.
Entity NameAbq Integrative Family Medicine Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1851941330
PECOS PAC ID: 2668804782
Enrollment ID: O20191112000111

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. Marcus T Higi 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
Marcus T Higi, MD
6800 Montgomery Blvd Ne Ste J,
Albuquerque, NM 87109-1425

Ph: (505) 226-2300
Marcus T Higi, MD
4123 Montgomery Blvd Ne,
Albuquerque, NM 87109-1102

Ph: (505) 226-2300

Reviews and Comments


Family Medicine Doctors in Albuquerque, NM

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Carrie A Irvin, PA-C
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Phone: 505-503-8806    Fax: 888-503-8511

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).

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