Glorimar Gonzalez Samot, MD in Brandon, FL

Glorimar Gonzalez Samot, MD is a medicare enrolled "General Practice" physician in Brandon, Florida. Her current practice location is 675 S Kings Ave Ste 101, Brandon, Florida. You can reach out to her office (for appointments etc.) via phone at (813) 588-5123.

Glorimar Gonzalez Samot is licensed to practice in Florida (license number ACN784) 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 1700111614.

Contact Information

	Glorimar Gonzalez Samot, MD
	675 S Kings Ave Ste 101, Brandon, FL 33511-6048
	(813) 588-5123
	(863) 646-9664

Map and Direction

Physician's Profile

Full Name	Glorimar Gonzalez Samot
Gender	Female
Speciality	General Practice
Location	675 S Kings Ave Ste 101, Brandon, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1700111614
Provider Enumeration Date: 10/09/2009
Last Update Date: 07/12/2023

Medicare PECOS Information:

PECOS PAC ID: 3274662291
Enrollment ID: I20160812000468

Medical Identifiers

Medical identifiers for Glorimar Gonzalez Samot such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1700111614	NPI	-	NPPES
ACN784	Other	FL	MEDICAL LICENSE NUMBER

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208D00000X	General Practice	17491 (Puerto Rico)	Secondary
208D00000X	General Practice	ACN784 (Florida)	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. Glorimar Gonzalez Samot allows following entities to bill medicare on her behalf.

Entity Name	Clearmedica Medical Centers Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1386344273 PECOS PAC ID: 3971961079 Enrollment ID: O20230622000760

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. Glorimar Gonzalez Samot 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
Glorimar Gonzalez Samot, MD Po Box 5618, Lakeland, FL 33807-5618 Ph: (813) 588-5123	Glorimar Gonzalez Samot, MD 675 S Kings Ave Ste 101, Brandon, FL 33511-6048 Ph: (813) 588-5123

Reviews and Comments

General Practice Doctors in Brandon, FL

Vijay Singh Saini, MD General Practice Medicare: Accepting Medicare Assignments Practice Location: 2020 Town Center Blvd Ste B, Brandon, FL 33511 Phone: 813-315-1500 Fax: 813-377-1686
Dr. Tatiana Natalie Hernandez Cabrera, MD General Practice Medicare: Medicare Enrolled Practice Location: 203 Kingsway Rd, Brandon, FL 33510 Phone: 813-819-7780
Harold Velaydez, MD General Practice Medicare: Medicare Enrolled Practice Location: 425 S Parsons Ave Ste 102, Brandon, FL 33511 Phone: 813-445-8033 Fax: 813-391-6534
Miguel Angel Mazariegos, MD General Practice Medicare: Accepting Medicare Assignments Practice Location: 1150 Bell Shoals Rd, Brandon, FL 33511 Phone: 813-681-6064 Fax: 813-653-4132
Dr. Jean Paul Inesta Rivera, MD General Practice Medicare: Not Enrolled in Medicare Practice Location: 119 Oakfield Dr, Brandon, FL 33511 Phone: 813-681-5551 Fax: 813-916-2944
Guillermo Talero, MD General Practice Medicare: Accepting Medicare Assignments Practice Location: 1783 S Kings Ave, Brandon, FL 33511 Phone: 813-933-3060 Fax: 813-662-4818
Lucia Lopez Fernandez, MD General Practice Medicare: Accepting Medicare Assignments Practice Location: 813 S Parsons Ave, Brandon, FL 33511 Phone: 813-662-4841

Glorimar Gonzalez Samot, MD - Medicare General Practice in Brandon, FL