Melvin R Gonzaga, MD is a medicare enrolled "Anesthesiology" physician in Lavale, Maryland. He graduated from medical school in 1968 and has 56 years of diverse experience with area of expertise as Interventional Pain Management. He is a member of the group practice Garrett Anesthesia And Pain Management and his current practice location is
957 National Hwy, Ste 3, Attn: Melvin Gonzaga, Lavale, Maryland. You can reach out to his office (for appointments etc.) via phone at
(240) 362-7128.
Melvin R Gonzaga is licensed to practice in Maryland (license number D22148) 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 1104842566.
Physician's Profile
Full Name | Melvin R Gonzaga |
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Gender | Male |
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Speciality | Interventional Pain Management |
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Experience | 56 Years |
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Location | 957 National Hwy, Ste 3, Lavale, Maryland |
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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. |
Medical Education and Training:
- Melvin R Gonzaga graduated from medical school in 1968
NPI Data:
- NPI Number: 1104842566
- Provider Enumeration Date: 07/15/2006
- Last Update Date: 10/02/2013
Medicare PECOS Information:
- PECOS PAC ID: 7810894953
- Enrollment ID: I20031216000887
Medical Identifiers
Medical identifiers for Melvin R Gonzaga such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1104842566 | NPI | - | NPPES |
961521100 | Medicaid | MD | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207L00000X | Anesthesiology | D22148 (Maryland) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Garrett Anesthesia And Pain Management | 2466359500 | 5 |
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. Melvin R Gonzaga allows following entities to bill medicare on his behalf.
Entity Name | Garrett Anesthesia And Pain Management |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1073608253 PECOS PAC ID: 2466359500 Enrollment ID: O20031216000880 |
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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. Melvin R Gonzaga 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 |
Melvin R Gonzaga, MD 957 National Hwy, Ste 3, Attn: Melvin Gonzaga, Lavale, MD 21501-0929 Ph: (240) 362-7128 | Melvin R Gonzaga, MD 957 National Hwy, Ste 3, Attn: Melvin Gonzaga, Lavale, MD 21501-0929 Ph: (240) 362-7128 |
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