Bella Vida Health Services Llc - Medicare Primary Care in Las Cruces, NM

Bella Vida Health Services Llc is a medicare enrolled primary clinic (Clinic/center - Primary Care) in Las Cruces, New Mexico. The current practice location for Bella Vida Health Services Llc is 330 N Campo St, Las Cruces, New Mexico. For appointments, you can reach them via phone at (575) 288-1336. The mailing address for Bella Vida Health Services Llc is Po Box 1731, Las Cruces, New Mexico and phone number is (575) 288-1336.

Bella Vida Health Services Llc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1104442847. 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 (575) 288-1336.

Contact Information

Bella Vida Health Services Llc
330 N Campo St
Las Cruces
NM 88001-3433
(575) 288-1336
(575) 222-4453

Primary Care Clinic Profile

Full NameBella Vida Health Services Llc
SpecialityClinic/Center
Location330 N Campo St, Las Cruces, New Mexico
Authorized Official Name and PositionDiana Marie Portillo (OWNER/PROVIDER)
Authorized Official Contact5752881336
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Bella Vida Health Services Llc
Po Box 1731
Las Cruces
NM 88004-1731

Ph: (575) 288-1336
Bella Vida Health Services Llc
330 N Campo St
Las Cruces
NM 88001-3433

Ph: (575) 288-1336

NPI Details:

NPI Number1104442847
Provider Enumeration Date06/18/2020
Last Update Date10/02/2020

Medicare PECOS Information:

Medicare PECOS PAC ID2264852334
Medicare Enrollment IDO20201013000188

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Medical Identifiers

Medical identifiers for Bella Vida Health Services Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1104442847NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QP2300XClinic/center - Primary Care (* (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. Bella Vida Health Services Llc acts as a billing entity for following providers:
Provider NameDiana Marie Portillo
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1194049841
PECOS PAC ID: 3274666235
Enrollment ID: I20100728000854

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