- Medicare Primary Care in El Rito, NM

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is a medicare enrolled primary clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in El Rito, New Mexico. The current practice location for is Highway 571 #28, El Rito, New Mexico. For appointments, you can reach them via phone at (575) 581-4728. The mailing address for is Hwy 571 #28, El Rito, New Mexico and phone number is (575) 581-4728.

is licensed to practice in New Mexico (license number 6254). The clinic also participates in the medicare program and its NPI number is 1053314831. 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) 581-4728.

Contact Information

Highway 571 #28
El Rito
NM 87530-0237
(575) 581-4728
(575) 581-0030

Map and Direction


Primary Care Clinic Profile

Full Name
SpecialityClinic/Center
LocationHighway 571 #28, El Rito, New Mexico
Authorized Official Name and PositionAndy R. Lopez (CEO)
Authorized Official Contact5055814728
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address

Hwy 571 #28
El Rito
NM 87530-0237

Ph: (575) 581-4728
Highway 571 #28
El Rito
NM 87530-0237

Ph: (575) 581-4728

NPI Details:

NPI Number1053314831
Provider Enumeration Date05/24/2005
Last Update Date05/27/2015

Medicare PECOS Information:

Medicare PECOS PAC ID1456252428
Medicare Enrollment IDO20040114000457

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1053314831NPI-NPPES
47704MedicaidNM

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QF0400XClinic/center - Federally Qualified Health Center (fqhc) 6254 (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. acts as a billing entity for following providers:
Provider NameLuigi Dulanto
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1578674255
PECOS PAC ID: 9032177324
Enrollment ID: I20050222000051
Provider NameRaj Inder K Khalsa
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1801988662
PECOS PAC ID: 8224043716
Enrollment ID: I20110721000265
Provider NameTanya Gallegos
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1417233107
PECOS PAC ID: 5395912414
Enrollment ID: I20120112000585
Provider NameMonique B Garcia
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1568796811
PECOS PAC ID: 4688831290
Enrollment ID: I20120209000720
Provider NameGeorgina F. Gomez-lieberman
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1932539152
PECOS PAC ID: 7012145741
Enrollment ID: I20140102000136
Provider NameAdriana M Gonzales
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1659798775
PECOS PAC ID: 2961625355
Enrollment ID: I20140604000737
Provider NameLeticia A Luketich Martinez
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1205327715
PECOS PAC ID: 1254696628
Enrollment ID: I20180606000847
Provider NameRicardo R Gonzales
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1932185840
PECOS PAC ID: 1355591017
Enrollment ID: I20190731003192
Provider NameStacia Roum
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1801427695
PECOS PAC ID: 0345653671
Enrollment ID: I20210106001127
Provider NameRory Mcguill
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1598143141
PECOS PAC ID: 6507273927
Enrollment ID: I20210401000604
Provider NameGabriela M Lemus
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1407599343
PECOS PAC ID: 1759766181
Enrollment ID: I20220921000126
Provider NameJennifer Lynn Castaneda-lovato
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1588355721
PECOS PAC ID: 4183081391
Enrollment ID: I20230602001802
Provider NameBrenda A Alcocer
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1043085814
PECOS PAC ID: 2769825728
Enrollment ID: I20240206003881
Provider NameRobert Winthrop Deane
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1508912650
PECOS PAC ID: 9436509783
Enrollment ID: I20240426000022
Provider NameSamantha Brenner
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1447931183
PECOS PAC ID: 4981045457
Enrollment ID: I20240515001113
Provider NameDeborah Laduke
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1720834583
PECOS PAC ID: 9032651849
Enrollment ID: I20240607003059
Provider NameJoshua Daniel Lehrer
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1477324861
PECOS PAC ID: 1951747518
Enrollment ID: I20240718002119

Reviews and Comments


Clinic/Center in El Rito, NM


Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 1167a Hwy 554, El Rito, NM 87530
Phone: 575-581-0033    Fax: 575-581-0034

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.