Dmitriy Vladimirovich Bazaron, CNP - Medicare Nurse Practitioner in Albuquerque, NM

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Dmitriy Vladimirovich Bazaron, CNP is a medicare enrolled "Nurse Practitioner - Family" in Albuquerque, New Mexico. He graduated from nursing school in 2017 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice New Mexico Urgent Care Walk-in Clinic Llc and his current practice location is 2901 Transport St Se, Albuquerque, New Mexico. You can reach out to his office (for appointments etc.) via phone at (505) 255-1717.

Dmitriy Vladimirovich Bazaron is licensed to practice in New Mexico (license number CNP-03476) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1043728249.

Contact Information

Dmitriy Vladimirovich Bazaron, CNP
2901 Transport St Se,
Albuquerque, NM 87106-4382
(505) 255-1717
(505) 266-9362

Map and Direction




Provider's Profile

Full NameDmitriy Vladimirovich Bazaron
GenderMale
SpecialityNurse Practitioner
Experience7 Years
Location2901 Transport St Se, Albuquerque, New Mexico
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dmitriy Vladimirovich Bazaron graduated from nursing school in 2017
  NPI Data:
  • NPI Number: 1043728249
  • Provider Enumeration Date: 01/22/2018
  • Last Update Date: 04/08/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 2567724743
  • Enrollment ID: I20180328001388

Medical Identifiers

Medical identifiers for Dmitriy Vladimirovich Bazaron such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1043728249NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family CNP-03476 (New Mexico)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
New Mexico Urgent Care Walk-in Clinic Llc44860629406

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. Dmitriy Vladimirovich Bazaron allows following entities to bill medicare on his behalf.
Entity NameIpc Hospitalists Of New Mexico, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1578839163
PECOS PAC ID: 6800051509
Enrollment ID: O20120703000044
Entity NameDrynachan Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1891044657
PECOS PAC ID: 2264718824
Enrollment ID: O20180205001767
Entity NameNew Mexico Urgent Care Walk-in Clinic Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1700473824
PECOS PAC ID: 4486062940
Enrollment ID: O20210421002587
Entity NamePost Acute Rehabilitation Physicians Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1023781028
PECOS PAC ID: 7214334614
Enrollment ID: O20210929000312
Entity NameNew Mexico Urgent Care Walk-in Clinic Juan Tabo Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1508510199
PECOS PAC ID: 6901283258
Enrollment ID: O20220506001883
Entity NameNew Mexico Center For Pain And Wellness, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1033803143
PECOS PAC ID: 7214391366
Enrollment ID: O20230908000248

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. Dmitriy Vladimirovich Bazaron 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
Dmitriy Vladimirovich Bazaron, CNP
2901 Transport St Se,
Albuquerque, NM 87106-4382

Ph: (505) 262-7110		Dmitriy Vladimirovich Bazaron, CNP
2901 Transport St Se,
Albuquerque, NM 87106-4382

Ph: (505) 255-1717

Reviews and Comments


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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.