Sergio G Gonzalez, MD is a
General Practice physician based in Laurel, Mississippi. Sergio G Gonzalez is licensed to practice in Mississippi (license number 06914) and his current practice location is 119 S 12th Ave, Laurel, Mississippi. He can be reached at his office (for appointments etc.) via phone at
(601) 649-5842.
NPI number for Sergio G Gonzalez is 1366443210 and his current mailing address is 119 S 12th Ave, Laurel, Mississippi. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1366443210.
Physician's Profile
Full Name | Sergio G Gonzalez |
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Gender | Male |
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Speciality | General Practice |
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Location | 119 S 12th Ave, Laurel, Mississippi |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1366443210
- Provider Enumeration Date: 08/02/2005
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Sergio G Gonzalez such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1366443210 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207ZD0900X | Pathology - Dermatopathology | 06914 (Mississippi) | Primary |
208D00000X | General Practice | 06914 (Mississippi) | Primary |
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. Sergio G Gonzalez is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Sergio G Gonzalez, MD 119 S 12th Ave, Laurel, MS 39440-4322 Ph: (601) 649-5842 | Sergio G Gonzalez, MD 119 S 12th Ave, Laurel, MS 39440-4322 Ph: (601) 649-5842 |
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