Gretchell Delacaridad Suarez Guerra, is a medicare enrolled "Nurse Practitioner - Family" physician in Louisville, Kentucky. Her current practice location is
8033 Dixie Hwy, Louisville, Kentucky. You can reach out to her office (for appointments etc.) via phone at
(502) 937-3155.
Gretchell Delacaridad Suarez Guerra is licensed to practice in Kentucky (license number 4010189) 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 1629859582.
Physician's Profile
Full Name | Gretchell Delacaridad Suarez Guerra |
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Gender | Female |
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Speciality | Nurse Practitioner - Family |
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Location | 8033 Dixie Hwy, Louisville, Kentucky |
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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: 1629859582
- Provider Enumeration Date: 10/06/2023
- Last Update Date: 12/07/2023
Medicare PECOS Information:
- PECOS PAC ID: 6507217205
- Enrollment ID: I20240108000100
Medical Identifiers
Medical identifiers for Gretchell Delacaridad Suarez Guerra such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1629859582 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207QA0505X | Family Medicine - Adult Medicine | 4010189 (Kentucky) | Secondary |
363LF0000X | Nurse Practitioner - Family | 4010189 (Kentucky) | 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. Gretchell Delacaridad Suarez Guerra allows following entities to bill medicare on her behalf.
Entity Name | Community Medical Associates Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1588614994 PECOS PAC ID: 7012811284 Enrollment ID: O20031120000656 |
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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. Gretchell Delacaridad Suarez Guerra 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 |
Gretchell Delacaridad Suarez Guerra, Po Box 776351, Chicago, IL 60677-2244 Ph: (502) 588-9490 | Gretchell Delacaridad Suarez Guerra, 8033 Dixie Hwy, Louisville, KY 40258-1344 Ph: (502) 937-3155 |
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