Gustavo Plasencia, MD - Medicare Colorectal Surgery (proctology) in Miami, FL

Gustavo Plasencia, MD is a medicare enrolled "Colon & Rectal Surgery" physician in Miami, Florida. He graduated from medical school in 1974 and has 50 years of diverse experience with area of expertise as Colorectal Surgery (proctology). He is a member of the group practice Public Health Trust Of Miami Dade County Florida and his current practice location is 9195 Sunset Dr, Suite 230, Miami, Florida. You can reach out to his office (for appointments etc.) via phone at (786) 466-6960.

Gustavo Plasencia is licensed to practice in Florida (license number ME0031262) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1386723567.

Contact Information

Gustavo Plasencia, MD
9195 Sunset Dr, Suite 230,
Miami, FL 33173-3452
(786) 466-6960
(305) 279-1994

Map and Direction




Physician's Profile

Full NameGustavo Plasencia
GenderMale
SpecialityColorectal Surgery (proctology)
Experience50 Years
Location9195 Sunset Dr, Miami, Florida
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Gustavo Plasencia graduated from medical school in 1974
  NPI Data:
  • NPI Number: 1386723567
  • Provider Enumeration Date: 11/06/2006
  • Last Update Date: 10/01/2014
  Medicare PECOS Information:
  • PECOS PAC ID: 0244256550
  • Enrollment ID: I20051017000390

Medical Identifiers

Medical identifiers for Gustavo Plasencia such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1386723567NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208600000XSurgery ME0031262 (Florida)Secondary
208C00000XColon & Rectal Surgery ME0031262 (Florida)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Jackson Health SystemMiami, FLHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Public Health Trust Of Miami Dade County Florida0244380434375

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. Gustavo Plasencia allows following entities to bill medicare on his behalf.
Entity NamePublic Health Trust Of Miami Dade County Florida
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1134384423
PECOS PAC ID: 0244380434
Enrollment ID: O20090610000019

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. Gustavo Plasencia 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 AddressPractice Location Address
Gustavo Plasencia, MD
9195 Sunset Dr, Suite 230,
Miami, FL 33173-3452

Ph: (786) 466-6960
Gustavo Plasencia, MD
9195 Sunset Dr, Suite 230,
Miami, FL 33173-3452

Ph: (786) 466-6960

Reviews and Comments



Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.