Mariana Mejia Botero, MD is a medicare enrolled "Family Medicine" physician in Paraje, New Mexico. She went to University Of New Mexico School Of Medicine and graduated in 2009 and has 15 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Laguna Healthcare Corporation and her current practice location is
6 Basswood Rd, Paraje, New Mexico. You can reach out to her office (for appointments etc.) via phone at
(505) 431-0711.
Mariana Mejia Botero is licensed to practice in New Mexico (license number MD2016-0719) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1679893374.
Physician's Profile
Full Name | Mariana Mejia Botero |
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Gender | Female |
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Speciality | Family Practice |
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Experience | 15 Years |
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Location | 6 Basswood Rd, Paraje, New Mexico |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Mariana Mejia Botero attended and graduated from University Of New Mexico School Of Medicine in 2009
NPI Data:
- NPI Number: 1679893374
- Provider Enumeration Date: 06/03/2010
- Last Update Date: 04/19/2021
Medicare PECOS Information:
- PECOS PAC ID: 7012168354
- Enrollment ID: I20151022000116
Medical Identifiers
Medical identifiers for Mariana Mejia Botero such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1679893374 | NPI | - | NPPES |
H3451 | Medicaid | NM | |
78721016 | Medicaid | NM | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | MD2016-0719 (New Mexico) | Primary |
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Laguna Healthcare Corporation | 2365855079 | 9 |
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. Mariana Mejia Botero allows following entities to bill medicare on her behalf.
Entity Name | Dhhs Phs Naihs Crownpoint Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1114960093 PECOS PAC ID: 0143128041 Enrollment ID: O20031230000393 |
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Entity Name | Laguna Healthcare Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1962001024 PECOS PAC ID: 2365855079 Enrollment ID: O20210119000388 |
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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. Mariana Mejia Botero 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 |
Mariana Mejia Botero, MD Po Box 549, Paraje, NM 87007-0549 Ph: (505) 431-0711 | Mariana Mejia Botero, MD 6 Basswood Rd, Paraje, NM 87007-1004 Ph: (505) 431-0711 |
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