Mario Alberto Gonzalez, MSN/FNP in San Jacinto, CA

Mario Alberto Gonzalez, MSN/FNP is a medicare enrolled "Nurse Practitioner - Family" in San Jacinto, California. His current practice location is 651 N State St Ste 5, San Jacinto, California. You can reach out to his office (for appointments etc.) via phone at (951) 487-8506.

Mario Alberto Gonzalez is licensed to practice in California (license number 95007892) 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 1740792795.

Contact Information

	Mario Alberto Gonzalez, MSN/FNP
	651 N State St Ste 5, San Jacinto, CA 92583-6574
	(951) 487-8506
	Not Available

Map and Direction

Provider's Profile

Full Name	Mario Alberto Gonzalez
Gender	Male
Speciality	Nurse Practitioner - Family
Location	651 N State St Ste 5, San Jacinto, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1740792795
Provider Enumeration Date: 10/31/2017
Last Update Date: 06/23/2021

Medicare PECOS Information:

PECOS PAC ID: 6002154416
Enrollment ID: I20190211000928

Medical Identifiers

Medical identifiers for Mario Alberto Gonzalez such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1740792795	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	95007892 (California)	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. Mario Alberto Gonzalez allows following entities to bill medicare on his behalf.

Entity Name	Borrego Community Health Foundation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1134144165 PECOS PAC ID: 1759299944 Enrollment ID: O20040122000961

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. Mario Alberto 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
Mario Alberto Gonzalez, MSN/FNP 27373 Fawn Ridge Ct, Corona, CA 92883-8413 Ph: (562) 278-4727	Mario Alberto Gonzalez, MSN/FNP 651 N State St Ste 5, San Jacinto, CA 92583-6574 Ph: (951) 487-8506

Reviews and Comments

Nurse Practitioner Nurses in San Jacinto, CA

Sonia Ildelisa Betancourt, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 621 N State St, San Jacinto, CA 92583 Phone: 951-285-6115
Linda S. Olson, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1695 S San Jacinto Ave, Suite #a, San Jacinto, CA 92583 Phone: 951-665-1100
Jaime Zeledon, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1695 S San Jacinto Ave Ste A-cd, San Jacinto, CA 92583 Phone: 951-330-3100 Fax: 951-380-8596
Lisa Garcia, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1695 S San Jacinto Ave Ste A, San Jacinto, CA 92583 Phone: 951-665-1100 Fax: 951-665-1414
Ms. Martha Kim Izvernari, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1695 S. San Jacinto Ave, Suite L, San Jacinto, CA 92583 Phone: 951-654-8132 Fax: 951-654-8135
Michael Aquitania Agbisit, ACNPC-AG Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 448 Oriole Rd, San Jacinto, CA 92582 Phone: 951-654-8038
Rahel Asfaw Demessie, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 229 W 7th St, San Jacinto, CA 92583 Phone: 951-487-2550

Mario Alberto Gonzalez, MSN/FNP - Medicare Nurse Practitioner in San Jacinto, CA