Legacy Family Medicine Llc in Gallup, NM - Medicare Family Medicine

Legacy Family Medicine Llc is a medicare enrolled primary clinic (Family Medicine) in Gallup, New Mexico. The current practice location for Legacy Family Medicine Llc is 1808 E Aztec Ave Ste 6, Gallup, New Mexico. For appointments, you can reach them via phone at (505) 863-9374. The mailing address for Legacy Family Medicine Llc is Po Box 402, Lupton, Arizona and phone number is () -.

Legacy Family Medicine Llc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1265172399. 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) 863-9374.

Contact Information

	Legacy Family Medicine Llc
	1808 E Aztec Ave Ste 6 Gallup NM 87301-4946
	(505) 863-9374
	Not Available

Map and Direction

Primary Care Clinic Profile

Full Name	Legacy Family Medicine Llc
Speciality	Family Medicine
Location	1808 E Aztec Ave Ste 6, Gallup, New Mexico
Authorized Official Name and Position	Brett Hartline (ADMINISTRATOR)
Authorized Official Contact	4804989086
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Legacy Family Medicine Llc Po Box 402 Lupton AZ 86508-1402 Ph: () -	Legacy Family Medicine Llc 1808 E Aztec Ave Ste 6 Gallup NM 87301-4946 Ph: (505) 863-9374

NPI Details:

NPI Number	1265172399
Provider Enumeration Date	03/29/2022
Last Update Date	03/29/2022

Medicare PECOS Information:

Medicare PECOS PAC ID	0244619872
Medicare Enrollment ID	O20220628001003

Medical Identifiers

Medical identifiers for Legacy Family Medicine Llc such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1265172399	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	(* (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. Legacy Family Medicine Llc acts as a billing entity for following providers:

Provider Name	Caleb R Lauber
Provider Type	Practitioner - Family Practice
Provider Identifiers	NPI Number: 1205802642 PECOS PAC ID: 9739150871 Enrollment ID: I20200413003137

Reviews and Comments

Family Medicine in Gallup, NM

Gallup Quick Clinic Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1850 E Highway 66, Gallup, NM 87301 Phone: 505-722-9334 Fax: 505-722-9352
Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2025 E Aztec Ave, Gallup, NM 87301 Phone: 505-863-3828 Fax: 505-863-6612
Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1808 E Aztec Ave Ste 6, Gallup, NM 87301 Phone: 505-863-9374
Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 308 East Hill Avenue, Gallup, NM 87301 Phone: 505-722-6770 Fax: 505-722-6799
Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1551 S Second St, Gallup, NM 87301 Phone: 505-542-0090 Fax: 505-542-0155
Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1211 E Aztec Ave, Gallup, NM 87301 Phone: 505-870-9647

Legacy Family Medicine Llc - Medicare Primary Care in Gallup, NM