Dr Martin Nicholas Ancona, PHD is a medicare enrolled "Psychologist - Prescribing (medical)" provider in Chaparral, New Mexico. He graduated from medical school in 2013 and has 11 years of diverse experience with area of expertise as Clinical Psychologist. His current practice location is
320 Mccombs Rd Ste C, Chaparral, New Mexico. You can reach out to his office (for appointments etc.) via phone at
(575) 882-5100.
Dr Martin Nicholas Ancona is licensed to practice in New Mexico (license number 0040C) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1003065749.
Healthcare Provider's Profile
| Full Name | Dr Martin Nicholas Ancona |
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| Gender | Male |
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| Speciality | Clinical Psychologist |
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| Experience | 11 Years |
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| Location | 320 Mccombs Rd Ste C, Chaparral, New Mexico |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Martin Nicholas Ancona graduated from medical school in 2013
NPI Data:
- NPI Number: 1003065749
- Provider Enumeration Date: 09/18/2008
- Last Update Date: 02/28/2017
Medicare PECOS Information:
- PECOS PAC ID: 4789813700
- Enrollment ID: I20140214000421
Medical Identifiers
Medical identifiers for Dr Martin Nicholas Ancona such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1003065749 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 103T00000X | Psychologist | PY60201752 (Washington) | Secondary |
| 103TC0700X | Psychologist - Clinical | 1296 (New Mexico) | Secondary |
| 103TP0016X | Psychologist - Prescribing (medical) | 0040C (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 Martin Nicholas Ancona allows following entities to bill medicare on his behalf.
| Entity Name | Martin Ancona Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1437713062
PECOS PAC ID: 5496087744
Enrollment ID: O20191106000410 |
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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 Martin Nicholas Ancona 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 |
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Dr Martin Nicholas Ancona, PHD
785 Anthony Drive,
Anthony, NM 88021-9747
Ph: (575) 882-5100 | Dr Martin Nicholas Ancona, PHD
320 Mccombs Rd Ste C,
Chaparral, NM 88081-7937
Ph: (575) 882-5100 |
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