Dr Mia Davielle Gonzales, MD - Medicare Internal Medicine in Greenville, NC

Dr Mia Davielle Gonzales, MD is a medicare enrolled "Internal Medicine - Pulmonary Disease" physician in Greenville, North Carolina. Her current practice location is 521 Moye Blvd, Greenville, North Carolina. You can reach out to her office (for appointments etc.) via phone at (252) 744-1600.

Dr Mia Davielle Gonzales is licensed to practice in North Carolina (license number 2020-00026) 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 1598292674.

Contact Information

Dr Mia Davielle Gonzales, MD
521 Moye Blvd,
Greenville, NC 27834-2849
(252) 744-1600
(252) 744-1115

Map and Direction




Physician's Profile

Full NameDr Mia Davielle Gonzales
GenderFemale
SpecialityInternal Medicine - Pulmonary Disease
Location521 Moye Blvd, Greenville, North Carolina
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1598292674
  • Provider Enumeration Date: 05/19/2017
  • Last Update Date: 02/12/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 2567732951
  • Enrollment ID: I20200406003298

Medical Identifiers

Medical identifiers for Dr Mia Davielle Gonzales such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1598292674NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 2020-00026 (North Carolina)Secondary
207R00000XInternal Medicine 2020-00026 (North Carolina)Secondary
207RP1001XInternal Medicine - Pulmonary Disease 2020-00026 (North Carolina)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 Mia Davielle Gonzales allows following entities to bill medicare on her behalf.
Entity NameEast Carolina University
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1972551919
PECOS PAC ID: 0244143246
Enrollment ID: O20031106000400
Entity NameEast Carolina Health-bertie
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1578541660
PECOS PAC ID: 1355251661
Enrollment ID: O20041112000143
Entity NameVidant Medical Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1477648731
PECOS PAC ID: 0345343893
Enrollment ID: O20070321000445
Entity NameOuter Banks Professional Services, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1891050357
PECOS PAC ID: 3173652096
Enrollment ID: O20100602000156

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 Mia Davielle Gonzales 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 Mia Davielle Gonzales, MD
Po Box 751069,
Charlotte, NC 28275-1069

Ph: () -
Dr Mia Davielle Gonzales, MD
521 Moye Blvd,
Greenville, NC 27834-2849

Ph: (252) 744-1600

Reviews and Comments


Internal Medicine Doctors in Greenville, NC

Dr. John N Catanzaro, MD
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Medicare: Accepting Medicare Assignments
Practice Location: 115 Heart Dr, Greenville, NC 27834
Phone: 252-744-4400    Fax: 252-744-3987
Ms. Kimberly Michelle Biichle, M.D
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Medicare: Medicare Enrolled
Practice Location: 1400 Sullivan Dr, Greenville, NC 27834
Phone: 252-931-5686    
Jennifer Beth Emberger, M.D.
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Medicare: Accepting Medicare Assignments
Practice Location: 2390 Hemby Ln, Greenville, NC 27834
Phone: 252-744-4500    Fax: 252-744-5713
Ali Hussain, M.D.
Pulmonary Disease
Medicare: Accepting Medicare Assignments
Practice Location: 2100 Stantonsburg Rd, Greenville, NC 27834
Phone: 610-844-6319    
Dr. Edward L Treadwell, M.D.
Pulmonary Disease
Medicare: Not Enrolled in Medicare
Practice Location: 600 Moye Blvd, Greenville, NC 27834
Phone: 252-744-3169    Fax: 252-744-3725
Dr. Alpesh Patel, M.D.
Pulmonary Disease
Medicare: Accepting Medicare Assignments
Practice Location: 2210 Hemby Ln, Greenville, NC 27834
Phone: 252-551-3000    Fax: 252-551-3100
Dr. Kara Anne Regan, MD
Pulmonary Disease
Medicare: Accepting Medicare Assignments
Practice Location: 521 Moye Blvd Ste C3, Greenville, NC 27834
Phone: 252-816-0800    

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.