Ms Madonna Petula Phillip, MD is a medicare enrolled "Hospitalist" physician in Las Cruces, New Mexico. Her current practice location is
4311 E Lohman Ave, Mountain View Regional Medical Center, Las Cruces, New Mexico. You can reach out to her office (for appointments etc.) via phone at
(575) 556-7600.
Ms Madonna Petula Phillip is licensed to practice in New Mexico (license number MD2022-1497) 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 1306474408.
Physician's Profile
Full Name | Ms Madonna Petula Phillip |
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Gender | Female |
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Speciality | Hospitalist |
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Location | 4311 E Lohman Ave, Las Cruces, 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: 1306474408
- Provider Enumeration Date: 04/01/2020
- Last Update Date: 12/22/2023
Medicare PECOS Information:
- PECOS PAC ID: 4385004837
- Enrollment ID: I20230717001193
Medical Identifiers
Medical identifiers for Ms Madonna Petula Phillip such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1306474408 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207R00000X | Internal Medicine | MD2022-1497 (New Mexico) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
208M00000X | Hospitalist | MD2022-1497 (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. Ms Madonna Petula Phillip allows following entities to bill medicare on her behalf.
Entity Name | Las Cruces Hb Medical Services Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1598446171 PECOS PAC ID: 8123473600 Enrollment ID: O20231018003832 |
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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. Ms Madonna Petula Phillip 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 |
Ms Madonna Petula Phillip, MD 4311 E Lohman Ave, Las Cruces, NM 88011-8255 Ph: (575) 556-7600 | Ms Madonna Petula Phillip, MD 4311 E Lohman Ave, Mountain View Regional Medical Center, Las Cruces, NM 88011 Ph: (575) 556-7600 |
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