Jicarilla Service Unit - Medicare Primary Care in Dulce, NM

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Jicarilla Service Unit is a medicare enrolled primary clinic (General Acute Care Hospital) in Dulce, New Mexico. The current practice location for Jicarilla Service Unit is 500 North Mundo, Dulce, New Mexico. For appointments, you can reach them via phone at (505) 759-3291. The mailing address for Jicarilla Service Unit is 500 North Mundo, Dulce, New Mexico and phone number is (505) 759-3291.

Jicarilla Service Unit is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1750388963. 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 (505) 759-3291.

Contact Information

Jicarilla Service Unit
500 North Mundo
Dulce
NM 87528-0187
(505) 759-3291
(505) 759-3532

Map and Direction


Primary Care Clinic Profile

Full NameJicarilla Service Unit
SpecialityGeneral Acute Care Hospital
Location500 North Mundo, Dulce, New Mexico
Authorized Official Name and PositionSandra Lahi (CHIEF EXECUTIVE OFFICER)
Authorized Official Contact5057597200
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jicarilla Service Unit
500 North Mundo
Dulce
NM 87528

Ph: (505) 759-3291		Jicarilla Service Unit
500 North Mundo
Dulce
NM 87528-0187

Ph: (505) 759-3291

NPI Details:

NPI Number1750388963
Provider Enumeration Date07/01/2005
Last Update Date01/11/2011

Medicare PECOS Information:

Medicare PECOS PAC ID7012991839
Medicare Enrollment IDO20040617000747

Medical Identifiers

Medical identifiers for Jicarilla Service Unit such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1750388963NPI-NPPES
000K3526MedicaidNM

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QP0904XClinic/center - Public Health, Federal (* (Not Available))Secondary
282N00000XGeneral Acute Care Hospital (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Jicarilla Service Unit acts as a billing entity for following providers:
Provider NameMaricela Bonilla
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1265460851
PECOS PAC ID: 6103866843
Enrollment ID: I20050511001008
Provider NameScott H Nelson
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1578522892
PECOS PAC ID: 9931139920
Enrollment ID: I20050818001104
Provider NameCecilia E Chao
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1881608487
PECOS PAC ID: 0941234546
Enrollment ID: I20050922001089
Provider NameJennifer L Claycomb
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1144323353
PECOS PAC ID: 7517058191
Enrollment ID: I20070810000673
Provider NameRalph Noah
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1669458741
PECOS PAC ID: 6800966284
Enrollment ID: I20090326000463
Provider NameKelly Cole
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1699958157
PECOS PAC ID: 0648322024
Enrollment ID: I20090916000496
Provider NameDamon L Brooks
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1558583963
PECOS PAC ID: 4587715354
Enrollment ID: I20090917000269
Provider NameKristin L Graziano
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1407899180
PECOS PAC ID: 4587788807
Enrollment ID: I20100824000262
Provider NameJoan Kandel
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1235172842
PECOS PAC ID: 1355494857
Enrollment ID: I20100824000531
Provider NameSteven J Petrakis
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1265591606
PECOS PAC ID: 1557545126
Enrollment ID: I20110405001003
Provider NameRaquel Cisneros
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1801186341
PECOS PAC ID: 3870737133
Enrollment ID: I20140904002800
Provider NameAnthony P Tranchita
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1437139847
PECOS PAC ID: 1052621208
Enrollment ID: I20151030001606
Provider NameJacob D Alexander
Provider TypePractitioner - Preventive Medicine
Provider IdentifiersNPI Number: 1780003442
PECOS PAC ID: 0345526364
Enrollment ID: I20180801000375
Provider NameDaniel X Haire
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1750814323
PECOS PAC ID: 4880948215
Enrollment ID: I20200908001631
Provider NameNatasha D Bordeaux
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
Provider IdentifiersNPI Number: 1639734890
PECOS PAC ID: 6800216920
Enrollment ID: I20201012001214
Provider NameDavid Zuflacht
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1346430311
PECOS PAC ID: 3870518996
Enrollment ID: I20210210000197
Provider NameJoshua G Carney
Provider TypePractitioner - Dentist
Provider IdentifiersNPI Number: 1548939549
PECOS PAC ID: 3678970977
Enrollment ID: I20210929003184
Provider NameJenna Lotz
Provider TypePractitioner - Dentist
Provider IdentifiersNPI Number: 1801203906
PECOS PAC ID: 2062733256
Enrollment ID: I20231222001597

Reviews and Comments


General Acute Care Hospital in Dulce, NM

Jicarilla Health Care Facility
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 12000 Stone Lake Rd, Dulce, NM 87528
Phone: 505-759-7286    
Dulce Teen Health Center
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 125 Hawks Dr, Dulce, NM 87528
Phone: 575-759-2924    Fax: 575-759-1349
Dhhs/ihs/aao/jsu/dulce Health Center
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 12000 Stone Lake Road, Jicarilla Service Unit, Dulce, NM 87528
Phone: 575-759-3291    Fax: 575-759-3532

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.