Amy L Bubbico, CNP in Albuquerque, NM - Medicare Nurse Practitioner

Amy L Bubbico, CNP is a medicare enrolled "Nurse Practitioner - Family" in Albuquerque, New Mexico. Her current practice location is Four Humours Healthcare, 4304 Carlisle Blvd Ne, Albuquerque, New Mexico. You can reach out to her office (for appointments etc.) via phone at (505) 888-1075.

Amy L Bubbico is licensed to practice in New Mexico (license number R28075) 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 1598927683.

Contact Information

	Amy L Bubbico, CNP
	Four Humours Healthcare, 4304 Carlisle Blvd Ne, Albuquerque, NM 87107-4811
	(505) 888-1075
	(505) 888-1082

Map and Direction

Provider's Profile

Full Name	Amy L Bubbico
Gender	Female
Speciality	Nurse Practitioner - Family
Location	Four Humours Healthcare, Albuquerque, New Mexico
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1598927683
Provider Enumeration Date: 06/30/2008
Last Update Date: 09/06/2019

Medicare PECOS Information:

PECOS PAC ID: 4183869423
Enrollment ID: I20130314000396

Medical Identifiers

Medical identifiers for Amy L Bubbico such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1598927683	NPI	-	NPPES
18702821	Medicaid	NM

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	R28075 (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. Amy L Bubbico allows following entities to bill medicare on her behalf.

Entity Name	Four Humours Healthcare Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1043376346 PECOS PAC ID: 3476658998 Enrollment ID: O20070411000482

Entity Name	Elite Patient Care New Mexico Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1598352015 PECOS PAC ID: 9335553197 Enrollment ID: O20210208000410

Entity Name	Ch Specialty Services Nm Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1346943685 PECOS PAC ID: 5496120883 Enrollment ID: O20230418000479

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. Amy L Bubbico 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
Amy L Bubbico, CNP Four Humours Healthcare, 4304 Carlisle Blvd Ne, Albuquerque, NM 87107-4811 Ph: (505) 888-1075	Amy L Bubbico, CNP Four Humours Healthcare, 4304 Carlisle Blvd Ne, Albuquerque, NM 87107-4811 Ph: (505) 888-1075

Reviews and Comments

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Amy L Bubbico, CNP - Medicare Nurse Practitioner in Albuquerque, NM