Diana Medina, PA-C - Medicare Physician Assistant in Santa Fe, NM

Diana Medina, PA-C is a medicare enrolled "Physician Assistant" in Santa Fe, New Mexico. Her current practice location is 2025 Galisteo St, Santa Fe, New Mexico. You can reach out to her office (for appointments etc.) via phone at (505) 995-4901.

Diana Medina is licensed to practice in New Mexico (license number 91-PA07) 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 1104873082.

Contact Information

Diana Medina, PA-C
2025 Galisteo St,
Santa Fe, NM 87505-2101
(505) 995-4901
(505) 989-6426



Provider's Profile

Full NameDiana Medina
GenderFemale
SpecialityPhysician Assistant
Location2025 Galisteo St, Santa Fe, New Mexico
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1104873082
  • Provider Enumeration Date: 05/27/2006
  • Last Update Date: 03/26/2013
  Medicare PECOS Information:
  • PECOS PAC ID: 7517979560
  • Enrollment ID: I20141106000122

Medical Identifiers

Medical identifiers for Diana Medina such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1104873082NPI-NPPES
QMYPR0068422OtherMOLINA
201006707OtherPRESBYTERIAN HEALTH PLANS
98151MedicaidNM

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 91-PA07 (New Mexico)Primary

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. Diana Medina 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 AddressPractice Location Address
Diana Medina, PA-C
2025 Galisteo St,
Santa Fe, NM 87505-2101

Ph: (505) 995-4901
Diana Medina, PA-C
2025 Galisteo St,
Santa Fe, NM 87505-2101

Ph: (505) 995-4901

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› Verified 9 days ago


Physician Assistant Nurses in Santa Fe, NM

Mr. Mitchell Constant, PA
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Phone: 505-983-8387    Fax: 505-820-2733
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Kimberly A Berge, PA-C
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Phone: 505-988-1232    Fax: 505-984-1603
Dominic Matthew Guerin,
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Practice Location: 440 Saint Michaels Dr, Santa Fe, NM 87505
Phone: 505-982-5014    
Eda Smith, PA-C
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Practice Location: 460 Saint Michaels Dr Ste 1104, Santa Fe, NM 87505
Phone: 505-820-2562    

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