Gustavo Gutierrez, CPNP in Chaparral, NM - Medicare Nurse Practitioner

Gustavo Gutierrez, CPNP is a medicare enrolled "Nurse Practitioner" in Chaparral, New Mexico. His current practice location is 800 S County Line Dr, Chaparral, New Mexico. You can reach out to his office (for appointments etc.) via phone at (575) 824-0820.

Gustavo Gutierrez is licensed to practice in Texas (license number AP129867) 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 1700242112.

Contact Information

	Gustavo Gutierrez, CPNP
	800 S County Line Dr, Chaparral, NM 88081
	(575) 824-0820
	(575) 824-1021

Map and Direction

Provider's Profile

Full Name	Gustavo Gutierrez
Gender	Male
Speciality	Nurse Practitioner
Location	800 S County Line Dr, Chaparral, New Mexico
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1700242112
Provider Enumeration Date: 01/14/2016
Last Update Date: 12/07/2023

Medicare PECOS Information:

PECOS PAC ID: 9739470634
Enrollment ID: I20160623002416

Medical Identifiers

Medical identifiers for Gustavo Gutierrez such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1700242112	NPI	-	NPPES
48681253	Medicaid	NM
507110YRND	Other	NM	MEDICARE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0200X	Nurse Practitioner - Pediatrics	CNP-02890 (New Mexico)	Secondary
363LP0200X	Nurse Practitioner - Pediatrics	AP129867 (Texas)	Secondary
363L00000X	Nurse Practitioner	AP129867 (Texas)	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. Gustavo Gutierrez allows following entities to bill medicare on his behalf.

Entity Name	La Clinica De Familia, Incorporated
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1528424397 PECOS PAC ID: 6305745191 Enrollment ID: O20031231000076

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. Gustavo Gutierrez 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
Gustavo Gutierrez, CPNP 385 Calle De Alegra, Bldg. A, Las Cruces, NM 88005-3423 Ph: (575) 526-1105	Gustavo Gutierrez, CPNP 800 S County Line Dr, Chaparral, NM 88081 Ph: (575) 824-0820

Reviews and Comments

Nurse Practitioner Nurses in Chaparral, NM

Bertha Lorena Contreras, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 510 E Lisa Dr, Chaparral, NM 88081 Phone: 575-824-0820 Fax: 575-824-1021
Tammi Bone, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 510 E Lisa Dr, Chaparral, NM 88081 Phone: 575-824-0820 Fax: 575-824-1021
Monica Romero, F.N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 510 Lisa Dr., Chaparral, NM 88081 Phone: 575-824-0820 Fax: 575-824-1021
Kellie Hoskins, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 204 Angelina Blvd, Chaparral, NM 88081 Phone: 575-824-8100
Jesus Hernandez, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 510 E Lisa Dr, Chaparral, NM 88081 Phone: 575-824-0820 Fax: 575-824-1021
Mrs. Rebecca Duran, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 309 Red Sun Dr # 1d, Chaparral, NM 88081 Phone: 575-228-7787

Gustavo Gutierrez, CPNP - Medicare Nurse Practitioner in Chaparral, NM