Mr Brian Edward Gonzales, AGACNP-BC in Columbia, MO

Mr Brian Edward Gonzales, AGACNP-BC is a medicare enrolled "Nurse Practitioner - Acute Care" in Columbia, Missouri. His current practice location is 1600 E Broadway, Columbia, Missouri. You can reach out to his office (for appointments etc.) via phone at (573) 815-8000.

Mr Brian Edward Gonzales is licensed to practice in Missouri (license number 2022020263) 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 1295453397.

Contact Information

	Mr Brian Edward Gonzales, AGACNP-BC
	1600 E Broadway, Columbia, MO 65201-5897
	(573) 815-8000
	(573) 815-2492

Map and Direction

Provider's Profile

Full Name	Mr Brian Edward Gonzales
Gender	Male
Speciality	Nurse Practitioner - Acute Care
Location	1600 E Broadway, Columbia, Missouri
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1295453397
Provider Enumeration Date: 08/16/2022
Last Update Date: 08/16/2022

Medicare PECOS Information:

PECOS PAC ID: 8325423106
Enrollment ID: I20220914002526

Medical Identifiers

Medical identifiers for Mr Brian Edward Gonzales such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1295453397	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2200X	Nurse Practitioner - Adult Health	2022020263 (Missouri)	Secondary
363LG0600X	Nurse Practitioner - Gerontology	2022020263 (Missouri)	Secondary
363LA2100X	Nurse Practitioner - Acute Care	2022020263 (Missouri)	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. Mr Brian Edward Gonzales allows following entities to bill medicare on his behalf.

Entity Name	Boone Physician Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1760893259 PECOS PAC ID: 6507090644 Enrollment ID: O20131003000535

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. Mr Brian Edward 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
Mr Brian Edward Gonzales, AGACNP-BC 810 Shakertown Way, Columbia, MO 65203-6048 Ph: (314) 495-1237	Mr Brian Edward Gonzales, AGACNP-BC 1600 E Broadway, Columbia, MO 65201-5897 Ph: (573) 815-8000

Reviews and Comments

Nurse Practitioner Nurses in Columbia, MO

Diana L Erion, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1600 E Broadway, Columbia, MO 65201 Phone: 573-875-8838 Fax: 573-875-8589
Jennifer Michelle Kandlik, F.N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: One Hospital Dr, Columbia, MO 65212 Phone: 573-882-8788 Fax: 573-882-3131
Ms. Lauren Ann Mistler, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2101 Corona Rd Ste 102, Columbia, MO 65203 Phone: 573-234-1800
Sheila Marie Struckmeyer, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: One Hospital Dr, Columbia, MO 65212 Phone: 573-884-4400 Fax: 573-884-5994
Lauren Taylor Vollrath, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1020 Hitt St, Columbia, MO 65212 Phone: 573-499-6041 Fax: 573-499-6091
Janis M Sears, APN-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 800 Hospital Dr, Columbia, MO 65201 Phone: 573-814-6000
Elisa M Amspacher, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1101 Hospital Drive, Columbia, MO 65212 Phone: 573-882-3106 Fax: 573-882-1760

Mr Brian Edward Gonzales, AGACNP-BC - Medicare Nurse Practitioner in Columbia, MO