Dr Jose Luis Gonzalez-roman, APRN,FNP-C,PMHNP-BC - Medicare Nurse Practitioner in Lithia, FL

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Dr Jose Luis Gonzalez-roman, APRN,FNP-C,PMHNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Lithia, Florida. His current practice location is 14888 Summer Branch Dr, Lithia, Florida. You can reach out to his office (for appointments etc.) via phone at (813) 502-9354.

Dr Jose Luis Gonzalez-roman is licensed to practice in Georgia (license number GAA-NP-000179) 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 1063187128.

Contact Information

Dr Jose Luis Gonzalez-roman, APRN,FNP-C,PMHNP-BC
14888 Summer Branch Dr,
Lithia, FL 33547-5130
(813) 502-9354
Not Available

Map and Direction




Provider's Profile

Full NameDr Jose Luis Gonzalez-roman
GenderMale
SpecialityNurse Practitioner - Family
Location14888 Summer Branch Dr, Lithia, Florida
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1063187128
  • Provider Enumeration Date: 08/11/2021
  • Last Update Date: 09/25/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 7214384098
  • Enrollment ID: I20231116000404

Medical Identifiers

Medical identifiers for Dr Jose Luis Gonzalez-roman such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1063187128NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family APRN11012338 (Florida)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health APRN11012338 (Florida)Secondary
363LF0000XNurse Practitioner - Family GAA-NP-000179 (Georgia)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. Dr Jose Luis Gonzalez-roman allows following entities to bill medicare on his behalf.
Entity NameDna Comprehensive Therapy Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1316363757
PECOS PAC ID: 2860619632
Enrollment ID: O20140819001276

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. Dr Jose Luis Gonzalez-roman 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 AddressPractice Location Address
Dr Jose Luis Gonzalez-roman, APRN,FNP-C,PMHNP-BC
14888 Summer Branch Dr,
Lithia, FL 33547-5130

Ph: (813) 502-9354		Dr Jose Luis Gonzalez-roman, APRN,FNP-C,PMHNP-BC
14888 Summer Branch Dr,
Lithia, FL 33547-5130

Ph: (813) 502-9354

Reviews and Comments


Nurse Practitioner Nurses in Lithia, FL

Mrs. Gybely Diaz-gonzales, APRN-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 5617 Skytop Dr, Lithia, FL 33547
Phone: 813-530-4585    Fax: 813-605-6053
Maria Nicole Sheppard, ARNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 5464 Lithia Pinecreast Rd., Lithia, FL 33547
Phone: 813-681-2111    
Jamie Kidd, ARNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 16301 Fishhawk Blvd, Lithia, FL 33547
Phone: 813-681-3800    Fax: 813-681-3883
Morgan Johnson, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 6228 Kingbird Manor Dr, Lithia, FL 33547
Phone: 813-220-9373    
Merlyn S Thomas,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 13421 Fishhawk Blvd, Lithia, FL 33547
Phone: 813-844-8600    
Mrs. Nsenga Ribeiro-anderson, APRN, FNP-BC, ANP-BC
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 6422 Bridgecrest Dr, Lithia, FL 33547
Phone: 314-363-6205    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.