Finding doctors, specialists, and other healthcare providers who accept Medicare is an important part of managing your healthcare in New Mexico. Whether you have Original Medicare or a Medicare Advantage plan, knowing how to search for and verify providers can save you time and money.
Finding Providers With Original Medicare
If you have Original Medicare (Parts A and B), you can see any doctor or provider in the country that accepts Medicare assignment. Use Medicare's official tool to search for providers:
- Medicare.gov Provider Search: Medicare Care Compare
- Call Medicare: 1-800-MEDICARE (1-800-633-4227)
Finding Providers With Medicare Advantage
Medicare Advantage plans use provider networks (HMO, PPO, etc.). You typically need to use in-network providers to get the lowest costs. Each plan maintains its own provider directory—check with your plan directly or use PlanMatch.com to compare plan networks before enrolling.
Medicare Provider Portal & Claims Information
Healthcare providers in New Mexico who need to submit claims, check eligibility, or manage their Medicare enrollment can access the following resources:
| Resource | Details |
|---|---|
| Medicare Administrative Contractor (MAC) | Novitas Solutions (for NM) |
| Provider Portal | novitas-solutions.com |
| Claims Mailing Address | Novitas Solutions, PO Box 3108, Mechanicsburg, PA 17055 |
| NM Medicare Payer ID | Varies by MAC; check with Novitas Solutions |
| Provider Enrollment | PECOS (pecos.cms.hhs.gov) |
Telehealth Providers in New Mexico
Medicare covers many telehealth and virtual visit services, which is especially valuable for New Mexicans in rural areas with limited provider access. Many Medicare Advantage plans offer expanded telehealth benefits beyond what Original Medicare covers. Learn more about telehealth in NM.
Need Help Finding the Right Plan for Your Doctors?
A licensed Medicare agent can help you verify that your preferred providers are in-network before you enroll in a plan.