Gautam Ganguly, in Orange Park, FL - Medicare General Practice

Gautam Ganguly, is a medicare enrolled "General Practice" physician in Orange Park, Florida. His current practice location is 1542 Kingsley Ave Ste 146, Orange Park, Florida. You can reach out to his office (for appointments etc.) via phone at (904) 269-2990.

Gautam Ganguly is licensed to practice in Florida (license number ACN1448) 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 1669849824.

Contact Information

	Gautam Ganguly,
	1542 Kingsley Ave Ste 146, Orange Park, FL 32073-4547
	(904) 269-2990
	Not Available

Map and Direction

Physician's Profile

Full Name	Gautam Ganguly
Gender	Male
Speciality	General Practice
Location	1542 Kingsley Ave Ste 146, Orange Park, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1669849824
Provider Enumeration Date: 08/24/2015
Last Update Date: 07/19/2022

Medicare PECOS Information:

PECOS PAC ID: 4688950066
Enrollment ID: I20170419002304

Medical Identifiers

Medical identifiers for Gautam Ganguly such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1669849824	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208D00000X	General Practice	ACN1448 (Florida)	Primary
208D00000X	General Practice	019167 (Puerto Rico)	Secondary

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. Gautam Ganguly allows following entities to bill medicare on his behalf.

Entity Name	Integrate Community Health System
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1467674713 PECOS PAC ID: 6507760469 Enrollment ID: O20040209000113

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. Gautam Ganguly 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
Gautam Ganguly, 1542 Kingsley Ave, Ste 146, Orange Park, FL 32073-4547 Ph: (201) 294-0073	Gautam Ganguly, 1542 Kingsley Ave Ste 146, Orange Park, FL 32073-4547 Ph: (904) 269-2990

Reviews and Comments

General Practice Doctors in Orange Park, FL

Dr. Stephanie Concepcion, M.D. General Practice Medicare: Medicare Enrolled Practice Location: 1542 Kingsley Ave Ste 146, Orange Park, FL 32073 Phone: 904-269-2990
Danisha Giselle Figueroa, M.D. General Practice Medicare: Accepting Medicare Assignments Practice Location: 1536 Kingsley Ave Ste 118, Orange Park, FL 32073 Phone: 904-298-2113 Fax: 904-298-1922
Alayna Sterchele, General Practice Medicare: Medicare Enrolled Practice Location: 2001 Kingsley Ave, Orange Park, FL 32073 Phone: 904-639-2000 Fax: 904-639-2015
Dr. Kerolos Abadeer, DO General Practice Medicare: Medicare Enrolled Practice Location: 2001 Kingsley Ave, Orange Park, FL 32073 Phone: 904-622-9200

Gautam Ganguly, - Medicare General Practice in Orange Park, FL