<unavail> in Los Alamos, NM - Medicare Durable Medical Equipment & Medical Supplies Provider

is a medicare enrolled "Durable Medical Equipment & Medical Supplies" provider in Los Alamos, New Mexico. Their current practice location is 1623 Central Ave, Los Alamos, New Mexico. You can reach out to their office (for appointments etc.) via phone at (505) 662-5444.

is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1104963040.

Contact Information


	1623 Central Ave, Los Alamos, NM 87544-3018
	(505) 662-5444
	(505) 662-6109

Map and Direction

Healthcare Provider's Profile

Full Name
Type	Facility
Speciality	Durable Medical Equipment & Medical Supplies
Location	1623 Central Ave, Los Alamos, New Mexico
Accepts Medicare Assignments	Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.

NPI Data:

NPI Number: 1104963040
Provider Enumeration Date: 01/31/2007
Last Update Date: 12/20/2024

Medicare PECOS Information:

PECOS PAC ID: 4486643616
Enrollment ID: O20100930070032

Medical Identifiers

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

Identifier	Type	State	Issuer
1104963040	NPI	-	NPPES
K5006	Medicaid	NM
47951	Medicaid	NM
CN6728	Other	NM	RAILROAD MEDICARE (RRB)
CH4370	Other	NM	RAILROAD MEDICARE (RRB)

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	(* (Not Available))	Secondary
156FX1800X	Technician/technologist - Optician	(* (Not Available))	Secondary
207W00000X	Ophthalmology	(* (Not Available))	Secondary
332B00000X	Durable Medical Equipment & Medical Supplies	(* (Not Available))	Primary

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. 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
8801 Horizon Blvd Ne, Suite 360, Albuquerque, NM 87113-1533 Ph: (505) 246-2622	1623 Central Ave, Los Alamos, NM 87544-3018 Ph: (505) 662-5444

- Medicare in Los Alamos, NM