Corrales Family Practice Llc - Medicare Primary Care in Corrales, NM

Corrales Family Practice Llc is a medicare enrolled primary clinic (Family Medicine) in Corrales, New Mexico. The current practice location for Corrales Family Practice Llc is 3841 Corrales Rd, Corrales, New Mexico. For appointments, you can reach them via phone at (505) 792-3065. The mailing address for Corrales Family Practice Llc is 3841 Corrales Rd, Corrales, New Mexico and phone number is (505) 792-3065.

Corrales Family Practice Llc is licensed to practice in New Mexico (license number 86346). The clinic also participates in the medicare program and its NPI number is 1043401508. 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 (505) 792-3065.

Contact Information

Corrales Family Practice Llc
3841 Corrales Rd
Corrales
NM 87048-9311
(505) 792-3065
(505) 792-4004

Primary Care Clinic Profile

Full NameCorrales Family Practice Llc
SpecialityFamily Medicine
Location3841 Corrales Rd, Corrales, New Mexico
Authorized Official Name and PositionAlyson P Thal (OWNER)
Authorized Official Contact5057923065
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Corrales Family Practice Llc
3841 Corrales Rd
Corrales
NM 87048-9311

Ph: (505) 792-3065
Corrales Family Practice Llc
3841 Corrales Rd
Corrales
NM 87048-9311

Ph: (505) 792-3065

NPI Details:

NPI Number1043401508
Provider Enumeration Date08/08/2007
Last Update Date06/12/2008

Medicare PECOS Information:

Medicare PECOS PAC ID7618005588
Medicare Enrollment IDO20100513000686

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Medical Identifiers

Medical identifiers for Corrales Family Practice Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1043401508NPI-NPPES
34224801MedicaidNM

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 86346 (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. Corrales Family Practice Llc acts as a billing entity for following providers:
Provider NameAlyson P Thal
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1316050560
PECOS PAC ID: 8527196492
Enrollment ID: I20100513000722

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