Johnny Gurgen, DO is a medicare enrolled "Dermatology" physician in Lady Lake, Florida. He went to Oakland College Of Medicine And Surgery and graduated in 2006 and has 18 years of diverse experience with area of expertise as Dermatology. He is a member of the group practice Johnny Gurgen Do Pa and his current practice location is
920 Rolling Acres Rd Unit 203, Lady Lake, Florida. You can reach out to his office (for appointments etc.) via phone at
(352) 435-7695.
Johnny Gurgen is licensed to practice in Florida (license number OS10423) 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 1962666966.
Physician's Profile
| Full Name | Johnny Gurgen |
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| Gender | Male |
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| Speciality | Dermatology |
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| Experience | 18 Years |
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| Location | 920 Rolling Acres Rd Unit 203, Lady Lake, Florida |
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| Accepts Medicare Assignments | Yes. He 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:
- Johnny Gurgen attended and graduated from Oakland College Of Medicine And Surgery in 2006
NPI Data:
- NPI Number: 1962666966
- Provider Enumeration Date: 07/18/2008
- Last Update Date: 06/11/2019
Medicare PECOS Information:
- PECOS PAC ID: 2264556331
- Enrollment ID: I20100825001007
Medical Identifiers
Medical identifiers for Johnny Gurgen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1962666966 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207ND0101X | Dermatology - Mohs-micrographic Surgery | OS10423 (Florida) | Secondary |
| 207N00000X | Dermatology | OS10423 (Florida) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Johnny Gurgen Do Pa | 1355504861 | 6 |
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. Johnny Gurgen allows following entities to bill medicare on his behalf.
| Entity Name | Johnny Gurgen Do Pa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1770856833
PECOS PAC ID: 1355504861
Enrollment ID: O20120521000427 |
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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. Johnny Gurgen 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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Johnny Gurgen, DO
920 Rolling Acres Rd Unit 203,
Lady Lake, FL 32159-5029
Ph: (352) 435-7695 | Johnny Gurgen, DO
920 Rolling Acres Rd Unit 203,
Lady Lake, FL 32159-5029
Ph: (352) 435-7695 |
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