Luis Gino Prada Guzman, APN, FNP-BC - Medicare Nurse Practitioner in Newark, NJ

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Luis Gino Prada Guzman, APN, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Newark, New Jersey. His current practice location is 150 Bergen St, Newark, New Jersey. You can reach out to his office (for appointments etc.) via phone at (973) 972-5123.

Luis Gino Prada Guzman is licensed to practice in New Jersey (license number 26NJ01377500) 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 1902537632.

Contact Information

Luis Gino Prada Guzman, APN, FNP-BC
150 Bergen St,
Newark, NJ 07103-2496
(973) 972-5123
Not Available

Map and Direction




Provider's Profile

Full NameLuis Gino Prada Guzman
GenderMale
SpecialityNurse Practitioner - Family
Location150 Bergen St, Newark, New Jersey
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1902537632
  • Provider Enumeration Date: 06/22/2022
  • Last Update Date: 01/31/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 4183098882
  • Enrollment ID: I20230321000277

Medical Identifiers

Medical identifiers for Luis Gino Prada Guzman such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1902537632NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family APRN11020245 (Florida)Secondary
363LF0000XNurse Practitioner - Family 26NJ01377500 (New Jersey)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. Luis Gino Prada Guzman allows following entities to bill medicare on his behalf.
Entity NameUniversity Hospital
Entity TypePart B Supplier - Hospital Department(s)
Entity IdentifiersNPI Number: 1023266962
PECOS PAC ID: 5294636874
Enrollment ID: O20081004000043
Entity NameExcel Urgent Care Of Nj
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1255742243
PECOS PAC ID: 9638396849
Enrollment ID: O20140812002211
Entity NameIhpnj Er Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1225750946
PECOS PAC ID: 3870963168
Enrollment ID: O20230103000314

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. Luis Gino Prada Guzman 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
Luis Gino Prada Guzman, APN, FNP-BC
150 Bergen St,
Newark, NJ 07103-2496

Ph: (929) 428-5444		Luis Gino Prada Guzman, APN, FNP-BC
150 Bergen St,
Newark, NJ 07103-2496

Ph: (973) 972-5123

Reviews and Comments


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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.