Laguna Community Health Center - Medicare Primary Care in Paraje, NM

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Laguna Community Health Center is a medicare enrolled primary clinic (Family Medicine) in Paraje, New Mexico. The current practice location for Laguna Community Health Center is 6 Basswood Rd, Paraje, New Mexico. For appointments, you can reach them via phone at (505) 552-5664. The mailing address for Laguna Community Health Center is Po Box 1407, Laguna, New Mexico and phone number is (505) 552-5664.

Laguna Community Health Center is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1962001024. 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) 552-5664.

Contact Information

Laguna Community Health Center
6 Basswood Rd
Paraje
NM 87007
(505) 552-5664
Not Available

Map and Direction


Primary Care Clinic Profile

Full NameLaguna Community Health Center
SpecialityFamily Medicine
Location6 Basswood Rd, Paraje, New Mexico
Authorized Official Name and PositionCarrie L Sarnicky (CEO)
Authorized Official Contact5055525664
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Laguna Community Health Center
Po Box 1407
Laguna
NM 87026-1407

Ph: (505) 552-5664		Laguna Community Health Center
6 Basswood Rd
Paraje
NM 87007

Ph: (505) 552-5664

NPI Details:

NPI Number1962001024
Provider Enumeration Date10/20/2020
Last Update Date01/07/2021

Medicare PECOS Information:

Medicare PECOS PAC ID2365855079
Medicare Enrollment IDO20210119000388

Medical Identifiers

Medical identifiers for Laguna Community Health Center such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1962001024NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine (* (Not Available))Primary
332800000XIndian Health Service/tribal/urban Indian Health (i/t/u) Pharmacy (* (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. Laguna Community Health Center acts as a billing entity for following providers:
Provider NameLori Ortiz
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1003902362
PECOS PAC ID: 7012950017
Enrollment ID: I20050609000645
Provider NameTimothy T Mccay
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1245221761
PECOS PAC ID: 2961456538
Enrollment ID: I20050621000935
Provider NameDean Roy Fullingim
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1770574253
PECOS PAC ID: 5193710929
Enrollment ID: I20050712000568
Provider NameSheila Malone Taber
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1447241971
PECOS PAC ID: 1557311495
Enrollment ID: I20050715000344
Provider NameFelino A Pascual
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1801877055
PECOS PAC ID: 6002801834
Enrollment ID: I20050728000628
Provider NameJohn S Dennis
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1871584060
PECOS PAC ID: 3173594389
Enrollment ID: I20050728000739
Provider NameMyeong S Yoon
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1497722342
PECOS PAC ID: 0042227266
Enrollment ID: I20070219000272
Provider NameLaura L Arrowsmith
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1083654800
PECOS PAC ID: 9638123631
Enrollment ID: I20081014000674
Provider NameRobert C Salek
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1164452207
PECOS PAC ID: 1153324454
Enrollment ID: I20081020000449
Provider NameJudith Wolfstein
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1013914456
PECOS PAC ID: 0345135232
Enrollment ID: I20081203000298
Provider NameChristian J Ingui
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1407893894
PECOS PAC ID: 0042213431
Enrollment ID: I20081203000324
Provider NameAri D Plosker
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1639141682
PECOS PAC ID: 4587693320
Enrollment ID: I20081203000368
Provider NameRalph Noah
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1669458741
PECOS PAC ID: 6800966284
Enrollment ID: I20090326000463
Provider NameJeremy Scott Fullingim
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1255537304
PECOS PAC ID: 5092867762
Enrollment ID: I20090917000124
Provider NameDamon L Brooks
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1558583963
PECOS PAC ID: 4587715354
Enrollment ID: I20090917000269
Provider NameMichelle M Ponder
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1447399415
PECOS PAC ID: 4880787217
Enrollment ID: I20100428000166
Provider NameChristos Vassiliou
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1053567784
PECOS PAC ID: 8820120454
Enrollment ID: I20100719000117
Provider NameStephen A Back
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1639302060
PECOS PAC ID: 3476723594
Enrollment ID: I20110829000547
Provider NameAnthony N Fleg
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1538333554
PECOS PAC ID: 3375717259
Enrollment ID: I20111111000452
Provider NamePatrick B O Hayre
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1518134352
PECOS PAC ID: 2264695402
Enrollment ID: I20120730000568
Provider NameLeila Danielle See
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1013164268
PECOS PAC ID: 6800059064
Enrollment ID: I20120810000291
Provider NameJeffrey W Shelton
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1194864074
PECOS PAC ID: 7719141639
Enrollment ID: I20120823000396
Provider NameCarmen M Hernandez
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1558613158
PECOS PAC ID: 8123272572
Enrollment ID: I20130212000179
Provider NameJonathon D Kirkland
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1639315260
PECOS PAC ID: 4789823139
Enrollment ID: I20130726000027
Provider NameJames N Pham
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1306089578
PECOS PAC ID: 4284876558
Enrollment ID: I20130911000061
Provider NameAlix Vincent
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1003802265
PECOS PAC ID: 4789602194
Enrollment ID: I20140227000925
Provider NameNicolaus J Kuehn
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1518946649
PECOS PAC ID: 6507858651
Enrollment ID: I20140228000613
Provider NameJason Lue
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1619141223
PECOS PAC ID: 2466525563
Enrollment ID: I20140303000440
Provider NameBrooke White
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1558679035
PECOS PAC ID: 4688807464
Enrollment ID: I20140516000548
Provider NameJose A Ospina
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1033373287
PECOS PAC ID: 7618147653
Enrollment ID: I20140626002168
Provider NameMichael J Golden
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1952527012
PECOS PAC ID: 9032353313
Enrollment ID: I20140701000579
Provider NameNicholas Bull
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1487968756
PECOS PAC ID: 6507099389
Enrollment ID: I20140821001827
Provider NamePeter J Mostert
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1326346875
PECOS PAC ID: 2860635844
Enrollment ID: I20140828001578
Provider NameAnthony Morton
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1922018217
PECOS PAC ID: 6608094560
Enrollment ID: I20140906000056
Provider NameBo Yon Choi
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1053551721
PECOS PAC ID: 5890920870
Enrollment ID: I20140925002205
Provider NameKyle G Flowers
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1063710580
PECOS PAC ID: 2769703107
Enrollment ID: I20150610001387
Provider NameDonald Von Borstel
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1275887663
PECOS PAC ID: 3779894860
Enrollment ID: I20150617001059
Provider NameMariana Mejia Botero
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1679893374
PECOS PAC ID: 7012168354
Enrollment ID: I20151022000116
Provider NameGeorge Polanco
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1326019332
PECOS PAC ID: 0244210755
Enrollment ID: I20160713002114
Provider NameBart M Rowlett
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1104945526
PECOS PAC ID: 5092602102
Enrollment ID: I20170215002368
Provider NameKenneth E Mann
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1851398713
PECOS PAC ID: 7113985441
Enrollment ID: I20170519000382
Provider NameBlake Edward Weaver
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1497785893
PECOS PAC ID: 6103890975
Enrollment ID: I20170629001468
Provider NameCharles M Davis
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1447240171
PECOS PAC ID: 9335230291
Enrollment ID: I20170825001969
Provider NameKevin L Hamm
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1578657623
PECOS PAC ID: 8022919620
Enrollment ID: I20171014000017
Provider NameDwight Anthony Townsend
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1811981590
PECOS PAC ID: 1658279948
Enrollment ID: I20171116000698
Provider NameNatalia Solomon
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1003173915
PECOS PAC ID: 6709141328
Enrollment ID: I20180601001555
Provider NameAaron Wittenberg
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1164486338
PECOS PAC ID: 0547298036
Enrollment ID: I20180619000638
Provider NameJulia D Knarreborg
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1952662363
PECOS PAC ID: 3173828803
Enrollment ID: I20180703001304
Provider NameLaura M Young
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1720048267
PECOS PAC ID: 9436109477
Enrollment ID: I20180813001041
Provider NameAlfred C Degner
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1891755294
PECOS PAC ID: 4082675996
Enrollment ID: I20180822000860
Provider NameCatherine Anne Shaeffer
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1811251499
PECOS PAC ID: 4385872175
Enrollment ID: I20180830000526
Provider NameSteven Matthew Wright
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1366733404
PECOS PAC ID: 0042536575
Enrollment ID: I20180912003056
Provider NameShawn D Grant
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1043214497
PECOS PAC ID: 6204877079
Enrollment ID: I20181211000646
Provider NameMarian K Ramsey Ford
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1326579574
PECOS PAC ID: 7517243959
Enrollment ID: I20190502001215
Provider NameEugenio Erquiaga
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1528005048
PECOS PAC ID: 6002947033
Enrollment ID: I20190923000256
Provider NameNicholas A Strle
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1851703185
PECOS PAC ID: 4587999354
Enrollment ID: I20191115001941
Provider NameJeff Lee
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1073933289
PECOS PAC ID: 2567899552
Enrollment ID: I20200304001706
Provider NameMckinley C Lawson
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1104137181
PECOS PAC ID: 6103056759
Enrollment ID: I20200609000592
Provider NameNabil A Yassa
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1467438911
PECOS PAC ID: 8729020839
Enrollment ID: I20200609000648
Provider NameChristopher D Roman
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1033266838
PECOS PAC ID: 1850482761
Enrollment ID: I20200701000532
Provider NameDavid N Ishimitsu
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1497919641
PECOS PAC ID: 3173783057
Enrollment ID: I20200924002219
Provider NameJewell Ann Henley
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1972700888
PECOS PAC ID: 2668787334
Enrollment ID: I20201221002546
Provider NameMatthew Bledsoe
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1295116721
PECOS PAC ID: 6608188024
Enrollment ID: I20210702000599
Provider NameRafel Alvarez
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1215383005
PECOS PAC ID: 7618247586
Enrollment ID: I20210706000944
Provider NameTyler Braaten
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1134507957
PECOS PAC ID: 3577964352
Enrollment ID: I20210708000016
Provider NameSharon Whyte
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1669924585
PECOS PAC ID: 8123395100
Enrollment ID: I20210821000052
Provider NameSoumya Vempalle
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1134514896
PECOS PAC ID: 9032500392
Enrollment ID: I20211220002762
Provider NameAmaya Basta
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1457589699
PECOS PAC ID: 0042434524
Enrollment ID: I20220118001954
Provider NameDustin W Cheney
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1225492606
PECOS PAC ID: 9133523418
Enrollment ID: I20220324000946
Provider NameAubrey Garner
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1689322018
PECOS PAC ID: 2264811660
Enrollment ID: I20220615000604
Provider NameGregory Bradley
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1881135804
PECOS PAC ID: 6608207824
Enrollment ID: I20221013000072
Provider NameAngela O Waller
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1194774190
PECOS PAC ID: 6406868892
Enrollment ID: I20230209003185
Provider NameMehyar Hefazi Torghabeh
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1548655343
PECOS PAC ID: 9830586767
Enrollment ID: I20230701000263
Provider NameNicolas William Albert Milligan
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1447612627
PECOS PAC ID: 1759671779
Enrollment ID: I20240123000101

Reviews and Comments


Family Medicine in Paraje, 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.