Raymundo Torres, MD - Medicare Pediatrics in Shiprock, NM

Raymundo Torres, MD is a medicare enrolled "Pediatrics" physician in Shiprock, New Mexico. His current practice location is Us Hwy 491 N, Shiprock, New Mexico. You can reach out to his office (for appointments etc.) via phone at (505) 368-6001.

Raymundo Torres is licensed to practice in Puerto Rico (license number 15641) 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 1245290246.

Contact Information

Raymundo Torres, MD
Us Hwy 491 N,
Shiprock, NM 87420
(505) 368-6001
(505) 368-7011

Map and Direction




Physician's Profile

Full NameRaymundo Torres
GenderMale
SpecialityPediatrics
LocationUs Hwy 491 N, Shiprock, New Mexico
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1245290246
  • Provider Enumeration Date: 03/24/2006
  • Last Update Date: 11/25/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 7113056615
  • Enrollment ID: I20100521000132

Medical Identifiers

Medical identifiers for Raymundo Torres such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1245290246NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207PP0204XEmergency Medicine - Pediatric Emergency Medicine 15641 (Puerto Rico)Secondary
208000000XPediatrics 15641 (Puerto Rico)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. Raymundo Torres allows following entities to bill medicare on his behalf.
Entity NameDhhs Phs Naihs Shiprock Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1780639971
PECOS PAC ID: 0749193837
Enrollment ID: O20031105000809

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. Raymundo Torres 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
Raymundo Torres, MD
Po Box 160,
Shiprock, NM 87420-0160

Ph: (505) 368-6001
Raymundo Torres, MD
Us Hwy 491 N,
Shiprock, NM 87420

Ph: (505) 368-6001

Reviews and Comments


Pediatrics Doctors in Shiprock, NM

Sandra Beirne, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: Us Hwy 491 North, Shiprock, NM 87420
Phone: 505-368-7060    Fax: 505-368-6545
Dr. Daniel Langsam, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: Hwy 491 N, Northern Navajo Medical Center, Shiprock, NM 87420
Phone: 505-368-6001    
Dr. Alan Lyndale Schooley, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: Us Hwy 491 North, Shiprock, NM 87420
Phone: 505-368-6001    Fax: 505-368-7011
Tommie T Begay, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: Hwy 491 North, Shiprock, NM 87420
Phone: 505-368-6001    Fax: 505-368-7011
Neil Gholkar, M.D
Pediatrics
Medicare: Medicare Enrolled
Practice Location: Us Hwy 491 North, Shiprock, NM 87420
Phone: 505-368-6001    Fax: 505-368-7011
Jeffrey C Powell, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: Us Hwy 491 North, Shiprock, NM 87420
Phone: 505-368-6401    Fax: 505-368-6431
Susie A John, MD MPH
Pediatrics
Medicare: Medicare Enrolled
Practice Location: Us Hwy 491 North, Shiprock, NM 87420
Phone: 505-368-6401    Fax: 505-368-6431

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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