Janet Lee Gorham, APRN-CNP in Aztec, NM - Medicare Nurse Practitioner

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.

Contact Information

	Janet Lee Gorham, APRN-CNP
	120 Llano St, Aztec, NM 87410-2172
	(505) 334-9441
	Not Available

Map and Direction

Provider's Profile

Full Name	Janet Lee Gorham
Gender	Female
Speciality	Nurse Practitioner - Family
Location	120 Llano St, Aztec, 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: 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
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1114960093 PECOS PAC ID: 0143128041 Enrollment ID: O20031230000393

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

Reviews and Comments

Nurse Practitioner Nurses in Aztec, NM

Laberta Dempsey, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 120 Llano St, Aztec, NM 87410 Phone: 505-334-3404 Fax: 505-334-3486
Echo Dashawn Favaloro, FNP-C, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6a Road 2930, Aztec, NM 87410 Phone: 505-258-0616
Christen Marie Janney, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 120 Llano St, Aztec, NM 87410 Phone: 505-334-3404 Fax: 505-334-3486
Rebekah Leann French, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 120 Llano St, Aztec, NM 87410 Phone: 505-334-3404 Fax: 505-334-3486

Janet Lee Gorham, APRN-CNP - Medicare Nurse Practitioner in Aztec, NM