Mitchell J Guanzon, APRN is a medicare enrolled "Nurse Practitioner - Family" physician in Melbourne, Florida. His current practice location is
1350 Hickory St, Melbourne, Florida. You can reach out to his office (for appointments etc.) via phone at
(321) 434-1771.
Mitchell J Guanzon is licensed to practice in Florida (license number APRN9453440) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1992288278.
Physician's Profile
Full Name | Mitchell J Guanzon |
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Gender | Male |
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Speciality | Nurse Practitioner - Family |
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Location | 1350 Hickory St, Melbourne, Florida |
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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: 1992288278
- Provider Enumeration Date: 09/12/2018
- Last Update Date: 01/08/2024
Medicare PECOS Information:
- PECOS PAC ID: 8527303882
- Enrollment ID: I20181214002629
Medical Identifiers
Medical identifiers for Mitchell J Guanzon such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1992288278 | NPI | - | NPPES |
SA763 | Other | FL | MEDICARE HF |
120325200 | Medicaid | FL | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208M00000X | Hospitalist | APRN9453440 (Florida) | Secondary |
363LF0000X | Nurse Practitioner - Family | APRN9453440 (Florida) | 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. Mitchell J Guanzon allows following entities to bill medicare on his behalf.
Entity Name | Health First Medical Group Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1750626495 PECOS PAC ID: 7416100672 Enrollment ID: O20130122000135 |
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Entity Name | Florida Hospital Medicine Services, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1508873183 PECOS PAC ID: 7810129640 Enrollment ID: O20140410000465 |
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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. Mitchell J Guanzon 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 |
Mitchell J Guanzon, APRN 3300 S Fiske Blvd, Rockledge, FL 32955-4306 Ph: (321) 434-1771 | Mitchell J Guanzon, APRN 1350 Hickory St, Melbourne, FL 32901-3224 Ph: (321) 434-1771 |
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