Dr Bianca Antonia Mcdermott, PHD is a medicare enrolled "Psychologist - Clinical" provider in Kewa, New Mexico. Her current practice location is
10 Tesuque St, Kewa, New Mexico. You can reach out to her office (for appointments etc.) via phone at
(505) 221-4061.
Dr Bianca Antonia Mcdermott is licensed to practice in New Mexico (license number 745) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1811348667.
Healthcare Provider's Profile
| Full Name | Dr Bianca Antonia Mcdermott |
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| Gender | Female |
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| Speciality | Psychologist - Clinical |
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| Location | 10 Tesuque St, Kewa, New Mexico |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1811348667
- Provider Enumeration Date: 06/23/2016
- Last Update Date: 06/23/2016
Medicare PECOS Information:
- PECOS PAC ID: 4880930452
- Enrollment ID: I20190118001406
Medical Identifiers
Medical identifiers for Dr Bianca Antonia Mcdermott such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1811348667 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 103TC0700X | Psychologist - Clinical | 745 (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. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Bianca Antonia Mcdermott allows following entities to bill medicare on her behalf.
| Entity Name | Southwest Medical Associates, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1164491072
PECOS PAC ID: 7214831114
Enrollment ID: O20031121000724 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Bianca Antonia Mcdermott is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Bianca Antonia Mcdermott, PHD
10 Duende Road,
Santa Fe, NM 87508
Ph: (505) 221-4061 | Dr Bianca Antonia Mcdermott, PHD
10 Tesuque St,
Kewa, NM 87052-9998
Ph: (505) 221-4061 |
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