Janet Lee Gorham, APRN-CNP is a medicare enrolled "Nurse Practitioner - Family" in Aztec, New Mexico. Her current practice location is
120 Llano St, Aztec, New Mexico. You can reach out to her office (for appointments etc.) via phone at
(505) 334-9441.
Janet Lee Gorham is licensed to practice in New Mexico (license number 72100) 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 1265604557.
Provider's Profile
Full Name | Janet Lee Gorham |
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Gender | Female |
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Speciality | Nurse Practitioner - Family |
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Location | 120 Llano St, Aztec, 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: 1265604557
- Provider Enumeration Date: 03/27/2008
- Last Update Date: 05/09/2023
Medicare PECOS Information:
- PECOS PAC ID: 3971674490
- Enrollment ID: I20090608000041
Medical Identifiers
Medical identifiers for Janet Lee Gorham such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1265604557 | NPI | - | NPPES |
100747570A | Medicaid | OK | |
200210930A | Medicaid | OK | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LF0000X | Nurse Practitioner - Family | 90898 (Oklahoma) | Secondary |
363LF0000X | Nurse Practitioner - Family | 161890 (Montana) | Secondary |
363LF0000X | Nurse Practitioner - Family | 72100 (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. Janet Lee Gorham allows following entities to bill medicare on her behalf.
Entity Name | Dhhs Phs Naihs Crownpoint Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1114960093 PECOS PAC ID: 0143128041 Enrollment ID: O20031230000393 |
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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. Janet Lee Gorham 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 |
Janet Lee Gorham, APRN-CNP Po Box 6210, Farmington, NM 87499-6210 Ph: (505) 609-2258 | Janet Lee Gorham, APRN-CNP 120 Llano St, Aztec, NM 87410-2172 Ph: (505) 334-9441 |
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