- Medicare Primary Care in Wagon Mound, NM

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is a medicare enrolled primary clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in Wagon Mound, New Mexico. The current practice location for is 604 Catron Avenue, Wagon Mound, New Mexico. For appointments, you can reach them via phone at (575) 666-2288. The mailing address for is 538 N Paseo De Onate, P.o. Box 158, Espanola, New Mexico and phone number is (505) 753-7218.

is licensed to practice in New Mexico (license number 47670). The clinic also participates in the medicare program and its NPI number is 1538324223. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (575) 666-2288.

Contact Information

604 Catron Avenue
Wagon Mound
NM 87752-0063
(575) 666-2288
(575) 666-2186

Map and Direction


Primary Care Clinic Profile

Full Name
SpecialityClinic/Center
Location604 Catron Avenue, Wagon Mound, New Mexico
Authorized Official Name and PositionLore C. Pease (CEO)
Authorized Official Contact5057537218
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address

538 N Paseo De Onate
P.o. Box 158
Espanola
NM 87532-2618

Ph: (505) 753-7218
604 Catron Avenue
Wagon Mound
NM 87752-0063

Ph: (575) 666-2288

NPI Details:

NPI Number1538324223
Provider Enumeration Date07/23/2008
Last Update Date11/21/2014

Medicare PECOS Information:

Medicare PECOS PAC ID9830080688
Medicare Enrollment IDO20090113000796

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1538324223NPI-NPPES
1780689034OtherNMORGANIZATION NPPES
47670MedicaidNM

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QF0400XClinic/center - Federally Qualified Health Center (fqhc) 47670 (New Mexico)Primary

Reviews and Comments


Clinic/Center in Wagon Mound, NM


Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 300 Parker Ave, Wagon Mound, NM 87752
Phone: 575-472-4311    Fax: 877-651-0289

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.