Omar A Vega, LPCC, LED, LSP is a medicare enrolled "Counselor - Professional" provider in Santa Fe, New Mexico. His current practice location is
29 Rito Guicu, Santa Fe, New Mexico. You can reach out to his office (for appointments etc.) via phone at
(505) 235-4002.
Omar A Vega is licensed to practice in New Mexico (license number 0123991) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1386855252.
Healthcare Provider's Profile
| Full Name | Omar A Vega |
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| Gender | Male |
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| Speciality | Counselor - Professional |
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| Location | 29 Rito Guicu, Santa Fe, 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: 1386855252
- Provider Enumeration Date: 05/24/2007
- Last Update Date: 07/21/2022
Medicare PECOS Information:
- PECOS PAC ID: 1557752987
- Enrollment ID: I20240313003146
Medical Identifiers
Medical identifiers for Omar A Vega such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1386855252 | NPI | - | NPPES |
| 64972526 | Medicaid | NM | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103TS0200X | Psychologist - School | 375345 (New Mexico) | Secondary |
| 101YP2500X | Counselor - Professional | 0123991 (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. Omar A Vega allows following entities to bill medicare on his behalf.
| Entity Name | Teambuilders Behavioral Health Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1790329472
PECOS PAC ID: 5294126629
Enrollment ID: O20211220001149 |
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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. Omar A Vega 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 |
|---|
Omar A Vega, LPCC, LED, LSP
29 Rito Guicu,
Santa Fe, NM 87507-4321
Ph: (505) 235-4002 | Omar A Vega, LPCC, LED, LSP
29 Rito Guicu,
Santa Fe, NM 87507-4321
Ph: (505) 235-4002 |
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