Ma Jessica Melizza Gonzaga, FNP - Medicare Nurse Practitioner in Tucson, AZ

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Ma Jessica Melizza Gonzaga, FNP is a medicare enrolled "Nurse Practitioner - Family" in Tucson, Arizona. Her current practice location is 1501 N Campbell Ave, Box 245057, Tucson, Arizona. You can reach out to her office (for appointments etc.) via phone at (520) 626-2239.

Ma Jessica Melizza Gonzaga is licensed to practice in Arizona (license number AP5341) 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 1740605526.

Contact Information

Ma Jessica Melizza Gonzaga, FNP
1501 N Campbell Ave, Box 245057,
Tucson, AZ 85724-0001
(520) 626-2239
(520) 626-2480

Map and Direction




Provider's Profile

Full NameMa Jessica Melizza Gonzaga
GenderFemale
SpecialityNurse Practitioner - Family
Location1501 N Campbell Ave, Tucson, Arizona
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1740605526
  • Provider Enumeration Date: 03/03/2014
  • Last Update Date: 03/07/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 9739302498
  • Enrollment ID: I20140527001107

Medical Identifiers

Medical identifiers for Ma Jessica Melizza Gonzaga such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1740605526NPI-NPPES
AP5341OtherAZSTATE LICENSE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family AP5341 (Arizona)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. Ma Jessica Melizza Gonzaga allows following entities to bill medicare on her behalf.
Entity NameBenson Hospital Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1336118322
PECOS PAC ID: 3274443056
Enrollment ID: O20040109000537
Entity NameEmcare - Pnx Emergency Physicians Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1902855992
PECOS PAC ID: 3779574165
Enrollment ID: O20040524000667
Entity NameNorthwest Allied Physicians Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1003833179
PECOS PAC ID: 7618972514
Enrollment ID: O20060928000110
Entity Name303 Emergency Physicians Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1518398585
PECOS PAC ID: 2567692528
Enrollment ID: O20140313001083
Entity NameNorthwest Hbp Medical Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1407353006
PECOS PAC ID: 8921356536
Enrollment ID: O20180730001756
Entity NameExceptional Physician Group Arizona, Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1447910229
PECOS PAC ID: 0042605008
Enrollment ID: O20220310000502
Entity NameIes Arizona Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1821752213
PECOS PAC ID: 7810382884
Enrollment ID: O20220310001059
Entity NameExceptional Physicians Group Bullhead City Hospital Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1518732023
PECOS PAC ID: 9335599604
Enrollment ID: O20231228002414

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. Ma Jessica Melizza Gonzaga 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
Ma Jessica Melizza Gonzaga, FNP
1501 N Campbell Ave, Po Box 245057,
Tucson, AZ 85724-0001

Ph: (520) 626-2239		Ma Jessica Melizza Gonzaga, FNP
1501 N Campbell Ave, Box 245057,
Tucson, AZ 85724-0001

Ph: (520) 626-2239

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.