Dr Juan Rafael Gonzalez, DMD is a medicare enrolled "Dentist" provider in Vieques, Puerto Rico. His current practice location is
502 Baldorioty St, Isabel Ii, Vieques, Puerto Rico. You can reach out to his office (for appointments etc.) via phone at
(787) 318-7376.
Dr Juan Rafael Gonzalez is licensed to practice in Ohio (license number 30-022496) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1437162724.
Healthcare Provider's Profile
| Full Name | Dr Juan Rafael Gonzalez |
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| Gender | Male |
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| Speciality | Dentist |
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| Location | 502 Baldorioty St, Vieques, Puerto Rico |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1437162724
- Provider Enumeration Date: 08/15/2006
- Last Update Date: 07/12/2012
Medicare PECOS Information:
- PECOS PAC ID: 2466731096
- Enrollment ID: I20161122000903
Medical Identifiers
Medical identifiers for Dr Juan Rafael Gonzalez such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1437162724 | NPI | - | NPPES |
| 856 | Other | PR | DENTAL LICENCE |
| 008682 | Other | PR | REGISTRATION NUM. |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 122300000X | Dentist | 856 (Puerto Rico) | Secondary |
| 122300000X | Dentist | 042540 (New York) | Secondary |
| 122300000X | Dentist | 17336-9 (Texas) | Secondary |
| 122300000X | Dentist | 019-022361 (Illinois) | Secondary |
| 122300000X | Dentist | 30-022496 (Ohio) | 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. Dr Juan Rafael Gonzalez allows following entities to bill medicare on his behalf.
| Entity Name | Lorain County Health & Dentistry |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1215194527
PECOS PAC ID: 9234047853
Enrollment ID: O20031105000774 |
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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. Dr Juan Rafael Gonzalez 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 |
|---|
Dr Juan Rafael Gonzalez, DMD
Po Box 608,
Vieques, PR 00765-0608
Ph: (787) 318-7376 | Dr Juan Rafael Gonzalez, DMD
502 Baldorioty St, Isabel Ii,
Vieques, PR 00765
Ph: (787) 318-7376 |
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