Jasmine Nathaly Gonzales, is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Greenville, Texas. Her current practice location is
4215 Joe Ramsey Blvd E, Greenville, Texas. You can reach out to her office (for appointments etc.) via phone at
(469) 600-5351.
Jasmine Nathaly Gonzales is licensed to practice in Texas (license number 1136380) 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 1386356590.
Provider's Profile
| Full Name | Jasmine Nathaly Gonzales |
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| Gender | Female |
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| Speciality | Nurse Anesthetist, Certified Registered |
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| Location | 4215 Joe Ramsey Blvd E, Greenville, Texas |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1386356590
- Provider Enumeration Date: 12/19/2022
- Last Update Date: 11/06/2023
Medicare PECOS Information:
- PECOS PAC ID: 4385090406
- Enrollment ID: I20231026000700
Medical Identifiers
Medical identifiers for Jasmine Nathaly Gonzales such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1386356590 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 163W00000X | Registered Nurse | 916317 (Texas) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 1136380 (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. Jasmine Nathaly Gonzales allows following entities to bill medicare on her behalf.
| Entity Name | Northstar Anesthesia Pa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1912978610
PECOS PAC ID: 7315907128
Enrollment ID: O20041015000685 |
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| Entity Name | Northstar Anesthesia Ii Pa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1477066405
PECOS PAC ID: 2365701737
Enrollment ID: O20180110000102 |
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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. Jasmine Nathaly Gonzales 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 |
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Jasmine Nathaly Gonzales,
6225 N State Highway 161 Ste 200,
Irving, TX 75038-2241
Ph: (214) 687-0001 | Jasmine Nathaly Gonzales,
4215 Joe Ramsey Blvd E,
Greenville, TX 75401-7852
Ph: (469) 600-5351 |
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