Jal Clinic - Medicare Primary Care in Jal, NM

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Jal Clinic is a medicare enrolled primary clinic (Clinic/center) in Jal, New Mexico. The current practice location for Jal Clinic is 805 West Kansas Avenue, Jal, New Mexico. For appointments, you can reach them via phone at (575) 395-3400. The mailing address for Jal Clinic is Po Box Z, Jal, New Mexico and phone number is (575) 395-3400.

Jal Clinic is licensed to practice in New Mexico (license number 6179). The clinic also participates in the medicare program and its NPI number is 1558583005. 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) 395-3400.

Contact Information

Jal Clinic
805 West Kansas Avenue
Jal
NM 88252
(575) 395-3400
(575) 395-3355

Map and Direction


Primary Care Clinic Profile

Full NameJal Clinic
SpecialityClinic/Center
Location805 West Kansas Avenue, Jal, New Mexico
Authorized Official Name and PositionLiza Tackett (CREDENTIALING ADMINISTRATOR)
Authorized Official Contact5753953400
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jal Clinic
Po Box Z
Jal
NM 88252-2525

Ph: (575) 395-3400		Jal Clinic
805 West Kansas Avenue
Jal
NM 88252

Ph: (575) 395-3400

NPI Details:

NPI Number1558583005
Provider Enumeration Date05/03/2007
Last Update Date07/24/2024

Medicare PECOS Information:

Medicare PECOS PAC ID8729264478
Medicare Enrollment IDO20110516000264

Medical Identifiers

Medical identifiers for Jal Clinic such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1558583005NPI-NPPES
44479MedicaidNM

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208D00000XGeneral Practice (* (Not Available))Secondary
225100000XPhysical Therapist (* (Not Available))Secondary
261Q00000XClinic/center 6179 (New Mexico)Primary
363LF0000XNurse Practitioner - Family (* (Not Available))Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health (* (Not Available))Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Jal Clinic acts as a billing entity for following providers:
Provider NameBrandy S Gooss
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1841449667
PECOS PAC ID: 8729142203
Enrollment ID: I20110516000310
Provider NameCarrie Nichole Blevins
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1801172150
PECOS PAC ID: 4880996941
Enrollment ID: I20160106000819
Provider NameJames Michael Gooss
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1578087169
PECOS PAC ID: 4385918176
Enrollment ID: I20170918001496
Provider NameBeatrice Hauer
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1326615220
PECOS PAC ID: 8921405499
Enrollment ID: I20210927000313
Provider NameDane Person
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1114139318
PECOS PAC ID: 6709801897
Enrollment ID: I20240417000836

Reviews and Comments


Clinic/Center in Jal, NM


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.