Gisselle Prada Martinez, APRN - Medicare Nurse Practitioner in Hialeah, FL

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Gisselle Prada Martinez, APRN is a medicare enrolled "Nurse Practitioner - Family" in Hialeah, Florida. Her current practice location is 6940 Nw 186th St Apt 131, Hialeah, Florida. You can reach out to her office (for appointments etc.) via phone at (786) 442-8349.

Gisselle Prada Martinez is licensed to practice in Florida (license number 11007966) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1619587805.

Contact Information

Gisselle Prada Martinez, APRN
6940 Nw 186th St Apt 131,
Hialeah, FL 33015-3277
(786) 442-8349
Not Available

Map and Direction




Provider's Profile

Full NameGisselle Prada Martinez
GenderFemale
SpecialityNurse Practitioner - Family
Location6940 Nw 186th St Apt 131, Hialeah, Florida
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1619587805
  • Provider Enumeration Date: 08/03/2020
  • Last Update Date: 08/03/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 2264806249
  • Enrollment ID: I20230314001026

Medical Identifiers

Medical identifiers for Gisselle Prada Martinez such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1619587805NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 11007966 (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. Gisselle Prada Martinez allows following entities to bill medicare on her behalf.
Entity NameGold Diagnostics Corp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1346824554
PECOS PAC ID: 2961802699
Enrollment ID: O20210616002821

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. Gisselle Prada Martinez 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
Gisselle Prada Martinez, APRN
6940 Nw 186th St Apt 131,
Hialeah, FL 33015-3277

Ph: (786) 442-8349		Gisselle Prada Martinez, APRN
6940 Nw 186th St Apt 131,
Hialeah, FL 33015-3277

Ph: (786) 442-8349

Reviews and Comments


Nurse Practitioner Nurses in Hialeah, FL

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Practice Location: 2001 W 68th St, Hialeah, FL 33016
Phone: 305-823-5000    

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.