Mr Gustavo Bacelar Fontenele Araujo, MD is a medicare enrolled "Internal Medicine" physician in Vincenness, Indiana. His current practice location is
520 S. 7th Street, Vincenness, Indiana. You can reach out to his office (for appointments etc.) via phone at
(812) 885-8520.
Mr Gustavo Bacelar Fontenele Araujo is licensed to practice in Indiana (license number 11022011A) 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 1578137246.
Physician's Profile
Full Name | Mr Gustavo Bacelar Fontenele Araujo |
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Gender | Male |
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Speciality | Internal Medicine |
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Location | 520 S. 7th Street, Vincenness, Indiana |
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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: 1578137246
- Provider Enumeration Date: 05/18/2021
- Last Update Date: 08/23/2022
Medicare PECOS Information:
- PECOS PAC ID: 6406259894
- Enrollment ID: I20240718003675
Medical Identifiers
Medical identifiers for Mr Gustavo Bacelar Fontenele Araujo such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1578137246 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207R00000X | Internal Medicine | 11022011A (Indiana) | 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. Mr Gustavo Bacelar Fontenele Araujo allows following entities to bill medicare on his behalf.
Entity Name | Deaconess Clinic Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1619123585 PECOS PAC ID: 3375610116 Enrollment ID: O20080922000145 |
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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. Mr Gustavo Bacelar Fontenele Araujo 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 |
Mr Gustavo Bacelar Fontenele Araujo, MD 12 Kimber Lane, Evansville, IN 47715 Ph: (812) 304-7490 | Mr Gustavo Bacelar Fontenele Araujo, MD 520 S. 7th Street, Vincenness, IN 47591 Ph: (812) 885-8520 |
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