Fcmbh-pc - Medicare Mental Health Clinic in Albuquerque, NM

Fcmbh-pc is a medicare enrolled mental health clinic (Psychiatry & Neurology - Psychiatry) in Albuquerque, New Mexico. The current practice location for Fcmbh-pc is 1003 Luna Cir Nw, Albuquerque, New Mexico. For appointments, you can reach them via phone at (505) 504-5505. The mailing address for Fcmbh-pc is Po Box 95602, Albuquerque, New Mexico and phone number is (505) 504-5505.

Fcmbh-pc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1891056909. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (505) 504-5505.

Contact Information

Fcmbh-pc
1003 Luna Cir Nw
Albuquerque
NM 87102-1973
(505) 504-5505
(505) 214-5614

Map and Direction


Mental Health Clinic Profile

Full NameFcmbh-pc
SpecialityPsychiatry & Neurology
Location1003 Luna Cir Nw, Albuquerque, New Mexico
Authorized Official Name and PositionShannon Solis Baca (OFFICE MANAGER)
Authorized Official Contact5052009855
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Fcmbh-pc
Po Box 95602
Albuquerque
NM 87199

Ph: (505) 504-5505
Fcmbh-pc
1003 Luna Cir Nw
Albuquerque
NM 87102-1973

Ph: (505) 504-5505

NPI Details:

NPI Number1891056909
Provider Enumeration Date06/05/2012
Last Update Date08/29/2023
Certification Date08/29/2023

Medicare PECOS Information:

Medicare PECOS PAC ID6507092996
Medicare Enrollment IDO20131113000190

Medical Identifiers

Medical identifiers for Fcmbh-pc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1891056909NPI-NPPES
37776825MedicaidNM

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101Y00000XCounselor (* (Not Available))Secondary
101YM0800XCounselor - Mental Health (* (Not Available))Secondary
106H00000XMarriage & Family Therapist (* (Not Available))Secondary
171M00000XCase Manager/care Coordinator (* (Not Available))Secondary
2084B0040XPsychiatry & Neurology - Behavioral Neurology & Neuropsychiatry (* (Not Available))Secondary
2084P0800XPsychiatry & Neurology - Psychiatry (* (Not Available))Primary
2084P0804XPsychiatry & Neurology - Child & Adolescent Psychiatry (* (Not Available))Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Fcmbh-pc acts as a billing entity for following providers:
Provider NameRandolph Phillip Baca
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1790982643
PECOS PAC ID: 9931335320
Enrollment ID: I20131114000150

Reviews and Comments

Psychiatry & Neurology in Albuquerque, NM

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Phone: 505-903-0927    

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.