Katiuska Gonzalez, is a medicare enrolled "Family Medicine" physician in San German, Puerto Rico. Her current practice location is
159 Calle Zafra, Urbanizacion El Pedregal, San German, Puerto Rico. You can reach out to her office (for appointments etc.) via phone at
(305) 484-9820.
Katiuska Gonzalez is licensed to practice in Puerto Rico (license number 31591) 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 1073997102.
Physician's Profile
| Full Name | Katiuska Gonzalez |
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| Gender | Female |
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| Speciality | Family Medicine |
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| Location | 159 Calle Zafra, San German, Puerto Rico |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1073997102
- Provider Enumeration Date: 07/18/2015
- Last Update Date: 07/18/2015
Medicare PECOS Information:
- PECOS PAC ID: 0941546725
- Enrollment ID: I20190418000658
Medical Identifiers
Medical identifiers for Katiuska Gonzalez such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1073997102 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | 31591 (Puerto Rico) | 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. Katiuska Gonzalez allows following entities to bill medicare on her behalf.
| Entity Name | Leon Medical Centers Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1376579839
PECOS PAC ID: 9537066618
Enrollment ID: O20031217000140 |
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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. Katiuska Gonzalez 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 |
|---|
Katiuska Gonzalez,
159 Calle Zafra, Urbanizacion El Pedregal,
San German, PR 00683
Ph: (305) 484-9820 | Katiuska Gonzalez,
159 Calle Zafra, Urbanizacion El Pedregal,
San German, PR 00683
Ph: (305) 484-9820 |
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