Dr Elisa B Gordon Perez Mena, MD is a medicare enrolled "General Practice" physician in Poinciana, Florida. She graduated from medical school in 1992 and has 32 years of diverse experience with area of expertise as General Practice. She is a member of the group practice Florida Medical Associates Llc and her current practice location is
1060 Cypress Pkwy Unit 101, Poinciana, Florida. You can reach out to her office (for appointments etc.) via phone at
(863) 588-4775.
Dr Elisa B Gordon Perez Mena is licensed to practice in Florida (license number ACN1296) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1720680887.
Physician's Profile
| Full Name | Dr Elisa B Gordon Perez Mena |
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| Gender | Female |
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| Speciality | General Practice |
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| Experience | 32 Years |
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| Location | 1060 Cypress Pkwy Unit 101, Poinciana, Florida |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Elisa B Gordon Perez Mena graduated from medical school in 1992
NPI Data:
- NPI Number: 1720680887
- Provider Enumeration Date: 11/13/2020
- Last Update Date: 09/26/2024
Medicare PECOS Information:
- PECOS PAC ID: 3678700879
- Enrollment ID: I20201210000690
Medical Identifiers
Medical identifiers for Dr Elisa B Gordon Perez Mena such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1720680887 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208D00000X | General Practice | ACN1296 (Florida) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Florida Medical Associates Llc | 0648271155 | 133 |
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 Elisa B Gordon Perez Mena allows following entities to bill medicare on her behalf.
| Entity Name | Florida Medical Associates Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1336153709
PECOS PAC ID: 0648271155
Enrollment ID: O20070126000169 |
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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 Elisa B Gordon Perez Mena 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 Elisa B Gordon Perez Mena, MD
Po Box 1568,
Davenport, FL 33836-1568
Ph: (863) 588-4775 | Dr Elisa B Gordon Perez Mena, MD
1060 Cypress Pkwy Unit 101,
Poinciana, FL 34759-3328
Ph: (863) 588-4775 |
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