Dr Gonzalo Lievano, MD - Medicare Urology in Fort Worth, TX

Dr Gonzalo Lievano, MD is a medicare enrolled "Urology" physician in Fort Worth, Texas. He graduated from medical school in 1988 and has 36 years of diverse experience with area of expertise as Urology. He is a member of the group practice Healthtexas Provider Network and his current practice location is 1307 8th Ave, Ste 306, Fort Worth, Texas. You can reach out to his office (for appointments etc.) via phone at (817) 912-8040.

Dr Gonzalo Lievano is licensed to practice in Texas (license number L5024) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1558302976.

Contact Information

Dr Gonzalo Lievano, MD
1307 8th Ave, Ste 306,
Fort Worth, TX 76104
(817) 912-8040
(817) 912-8049

Map and Direction




Physician's Profile

Full NameDr Gonzalo Lievano
GenderMale
SpecialityUrology
Experience36 Years
Location1307 8th Ave, Fort Worth, Texas
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Gonzalo Lievano graduated from medical school in 1988
  NPI Data:
  • NPI Number: 1558302976
  • Provider Enumeration Date: 06/09/2006
  • Last Update Date: 07/12/2012
  Medicare PECOS Information:
  • PECOS PAC ID: 0749212892
  • Enrollment ID: I20050909000077

Medical Identifiers

Medical identifiers for Dr Gonzalo Lievano such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1558302976NPI-NPPES
155486702MedicaidTX
8S3521OtherTXBCBS
155486703MedicaidTX

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208800000XUrology L5024 (Texas)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Baylor Scott & White All Saints Medical Center Fort WorthFort worth, TXHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Healthtexas Provider Network13552542101844

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 Gonzalo Lievano allows following entities to bill medicare on his behalf.
Entity NameHealthtexas Provider Network
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1760488936
PECOS PAC ID: 1355254210
Enrollment ID: O20040727001187

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 Gonzalo Lievano 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 AddressPractice Location Address
Dr Gonzalo Lievano, MD
1307 8th Ave, Ste 306,
Fort Worth, TX 76104

Ph: (817) 912-8040
Dr Gonzalo Lievano, MD
1307 8th Ave, Ste 306,
Fort Worth, TX 76104

Ph: (817) 912-8040

Reviews and Comments


Urology Doctors in Fort Worth, TX

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Phone: 817-338-4636    Fax: 817-335-5421

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.