Dr Gino Fernando Gutierrez, DPT is a medicare enrolled "Physical Medicine & Rehabilitation - Sports Medicine" physician in Irvington, New York. His current practice location is
1 Bridge St Ste 71, Irvington, New York. You can reach out to his office (for appointments etc.) via phone at
(914) 478-0608.
Dr Gino Fernando Gutierrez is licensed to practice in New York (license number 050971) 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 1023895539.
Physician's Profile
| Full Name | Dr Gino Fernando Gutierrez |
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| Gender | Male |
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| Speciality | Physical Medicine & Rehabilitation - Sports Medicine |
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| Location | 1 Bridge St Ste 71, Irvington, New York |
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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: 1023895539
- Provider Enumeration Date: 09/11/2023
- Last Update Date: 09/11/2023
Medicare PECOS Information:
- PECOS PAC ID: 8022462092
- Enrollment ID: I20230925001845
Medical Identifiers
Medical identifiers for Dr Gino Fernando Gutierrez such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1023895539 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 2081S0010X | Physical Medicine & Rehabilitation - Sports Medicine | 050971 (New York) | 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 Gino Fernando Gutierrez allows following entities to bill medicare on his behalf.
| Entity Name | S2 Physical Therapy Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1851812390
PECOS PAC ID: 1951721521
Enrollment ID: O20201020002737 |
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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 Gino Fernando Gutierrez 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 |
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Dr Gino Fernando Gutierrez, DPT
11 Terrace Ave,
White Plains, NY 10603-3905
Ph: (914) 258-5925 | Dr Gino Fernando Gutierrez, DPT
1 Bridge St Ste 71,
Irvington, NY 10533-1560
Ph: (914) 478-0608 |
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