Dr Rosario Gonzaga, MD is a medicare enrolled "Pediatrics" physician in Lavale, Maryland. Her current practice location is
957 National Hwy, Lavale, Maryland. You can reach out to her office (for appointments etc.) via phone at
(301) 729-9475.
Dr Rosario Gonzaga is licensed to practice in Maryland (license number D22277) 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 1184627457.
Physician's Profile
Full Name | Dr Rosario Gonzaga |
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Gender | Female |
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Speciality | Pediatrics |
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Location | 957 National Hwy, Lavale, Maryland |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1184627457
- Provider Enumeration Date: 05/31/2005
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 5991936379
- Enrollment ID: I20140327002187
Medical Identifiers
Medical identifiers for Dr Rosario Gonzaga such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1184627457 | NPI | - | NPPES |
7124551 | Other | | CIGNA |
0112098000 | Other | WV | MEDICAID |
840445 | Other | | MAMSI |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208000000X | Pediatrics | D22277 (Maryland) | 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 Rosario Gonzaga allows following entities to bill medicare on her behalf.
Entity Name | Rosario Gonzaga Md Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1356684302 PECOS PAC ID: 9032340419 Enrollment ID: O20140327002007 |
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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 Rosario Gonzaga 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 Rosario Gonzaga, MD 957 National Hwy, Lavale, MD 21502-7328 Ph: (301) 729-9475 | Dr Rosario Gonzaga, MD 957 National Hwy, Lavale, MD 21502-7328 Ph: (301) 729-9475 |
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