Harold Selan Gonzalez, in Miami, FL - Medicare Nurse Practitioner

Harold Selan Gonzalez, is a medicare enrolled "Nurse Practitioner - Adult Health" in Miami, Florida. He graduated from nursing school in 2020 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Public Health Trust Of Miami Dade County Florida and his current practice location is 1611 Nw 12th Ave, Miami, Florida. You can reach out to his office (for appointments etc.) via phone at (305) 585-1111.

Harold Selan Gonzalez is licensed to practice in Florida (license number 11010420) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1770170532.

Contact Information

	Harold Selan Gonzalez,
	1611 Nw 12th Ave, Miami, FL 33136-1096
	(305) 585-1111
	Not Available

Map and Direction

Provider's Profile

Full Name	Harold Selan Gonzalez
Gender	Male
Speciality	Nurse Practitioner
Experience	4 Years
Location	1611 Nw 12th Ave, Miami, Florida
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Harold Selan Gonzalez graduated from nursing school in 2020

NPI Data:

NPI Number: 1770170532
Provider Enumeration Date: 12/28/2020
Last Update Date: 03/11/2021

Medicare PECOS Information:

PECOS PAC ID: 6103232608
Enrollment ID: I20210308002678

Medical Identifiers

Medical identifiers for Harold Selan Gonzalez such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1770170532	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2100X	Nurse Practitioner - Acute Care	11010420 (Florida)	Secondary
363LA2200X	Nurse Practitioner - Adult Health	11010420 (Florida)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Jackson Health System	Miami, FL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Public Health Trust Of Miami Dade County Florida	0244380434	375

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. Harold Selan Gonzalez allows following entities to bill medicare on his behalf.

Entity Name	Public Health Trust Of Miami Dade County Florida
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1134384423 PECOS PAC ID: 0244380434 Enrollment ID: O20090610000019

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. Harold Selan Gonzalez 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
Harold Selan Gonzalez, 1709 San Remo Cir, Homestead, FL 33035-1120 Ph: (786) 357-7283	Harold Selan Gonzalez, 1611 Nw 12th Ave, Miami, FL 33136-1096 Ph: (305) 585-1111

Reviews and Comments

Nurse Practitioner Nurses in Miami, FL

Ms. Barbara Hassanzadeh, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7101 Sw 99th Ave, Ste 108, Miami, FL 33173 Phone: 305-630-3300 Fax: 305-630-2558
Wanda Laverne Mcgowan-braynen, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1611 Nw 12th Ave, Miami, FL 33136 Phone: 305-585-1111 Fax: 305-999-9941
Dr. Lilia Diaz Pino, PH.D., ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 12955 Sw 112th St, Minuteclinic, Miami, FL 33186 Phone: 866-389-2727
Beth R Wolf, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5200 Ne 2nd Ave, Miami, FL 33137 Phone: 305-751-8626
Suzanne Marie Boyd, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3200 Sw 60th Ct Ste 302, Miami, FL 33155 Phone: 954-371-0107 Fax: 305-663-2813
Mr. Noel Medina Rojo, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 12011 Sw 24th Ter, Miami, FL 33175 Phone: 305-753-4368
Mrs. Sherley Charles, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1272 Nw 119th St, Miami, FL 33167 Phone: 305-685-5688

Harold Selan Gonzalez, - Medicare Nurse Practitioner in Miami, FL