Gretzky K Fuentes, in Miami, FL - Medicare Counselor Provider

Gretzky K Fuentes, is a medicare enrolled "Counselor - Mental Health" provider in Miami, Florida. Her current practice location is 12595 Sw 137th Ave Ste 110, Miami, Florida. You can reach out to her office (for appointments etc.) via phone at (305) 465-9379.

Gretzky K Fuentes is licensed to practice in Florida (license number MH21228) 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 1568178093.

Contact Information

	Gretzky K Fuentes,
	12595 Sw 137th Ave Ste 110, Miami, FL 33186-4218
	(305) 465-9379
	(305) 203-4672

Map and Direction

Healthcare Provider's Profile

Full Name	Gretzky K Fuentes
Gender	Female
Speciality	Counselor - Mental Health
Location	12595 Sw 137th Ave Ste 110, Miami, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1568178093
Provider Enumeration Date: 01/27/2023
Last Update Date: 01/27/2023

Medicare PECOS Information:

PECOS PAC ID: 7315397189
Enrollment ID: I20231220002706

Medical Identifiers

Medical identifiers for Gretzky K Fuentes such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1568178093	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	MH21228 (Florida)	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. Gretzky K Fuentes allows following entities to bill medicare on her behalf.

Entity Name	Progressive Medical Center Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1013592195 PECOS PAC ID: 8820497423 Enrollment ID: O20210602001819

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. Gretzky K Fuentes 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
Gretzky K Fuentes, 12595 Sw 137th Ave Ste 110, Miami, FL 33186-4218 Ph: (305) 465-9379	Gretzky K Fuentes, 12595 Sw 137th Ave Ste 110, Miami, FL 33186-4218 Ph: (305) 465-9379

Reviews and Comments

Counselor in Miami, FL

Mr. Richard Leigh Barr, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 13550 Sw 88th St, Suite 280, Miami, FL 33186 Phone: 305-282-1301
Adia Smith Young, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 15715 S Dixie Hwy, Suite 307, Miami, FL 33157 Phone: 786-269-3728 Fax: 786-245-7202
Anthony Hightower, HS Counselor Medicare: Not Enrolled in Medicare Practice Location: 140 Nw 59th St, Miami, FL 33127 Phone: 305-759-8888 Fax: 305-757-5989
Audrey D Mcfarland, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 7392 Nw 35th Ter, Ste 201-202, Miami, FL 33122 Phone: 305-597-9494
Miss Matilde Zuluaga, BS Counselor Medicare: Not Enrolled in Medicare Practice Location: 2682 Sw 87th Ave, Miami, FL 33165 Phone: 305-480-5680
Miss Jennifer Harrison, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1695 Nw 9th Ave, 2416, Miami, FL 33136 Phone: 305-355-8059 Fax: 305-355-8091
Maria O Hernandez, MS Counselor Medicare: Medicare Enrolled Practice Location: 22790 Sw 112th Ave, Miami, FL 33170 Phone: 305-235-2616 Fax: 305-235-6178

Gretzky K Fuentes, - Medicare Counselor in Miami, FL