Mr Gary M Gutierrez, MSN, NP-C, CCRN - Medicare Nurse Practitioner in Staten Island, NY

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Mr Gary M Gutierrez, MSN, NP-C, CCRN is a medicare enrolled "Nurse Practitioner - Adult Health" in Staten Island, New York. His current practice location is 1050 Clove Rd, Hospitalist, Staten Island, New York. You can reach out to his office (for appointments etc.) via phone at (718) 816-6440.

Mr Gary M Gutierrez is licensed to practice in New York (license number F306162-1) 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 1255670790.

Contact Information

Mr Gary M Gutierrez, MSN, NP-C, CCRN
1050 Clove Rd, Hospitalist,
Staten Island, NY 10301-3627
(718) 816-6440
Not Available

Map and Direction




Provider's Profile

Full NameMr Gary M Gutierrez
GenderMale
SpecialityNurse Practitioner - Adult Health
Location1050 Clove Rd, Staten Island, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1255670790
  • Provider Enumeration Date: 02/04/2013
  • Last Update Date: 02/07/2017
  Medicare PECOS Information:
  • PECOS PAC ID: 7214230325
  • Enrollment ID: I20160125000462

Medical Identifiers

Medical identifiers for Mr Gary M Gutierrez such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1255670790NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LA2200XNurse Practitioner - Adult Health 26NJ00423300 (New Jersey)Secondary
363LA2200XNurse Practitioner - Adult Health F306162-1 (New York)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 Gary M Gutierrez allows following entities to bill medicare on his behalf.
Entity NameMercy Hospital Of Buffalo
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1164464921
PECOS PAC ID: 8729991666
Enrollment ID: O20040702001253

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 Gary M Gutierrez 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
Mr Gary M Gutierrez, MSN, NP-C, CCRN
55 Water St, 12th Floor,
New York, NY 10041-0004

Ph: (646) 680-2888		Mr Gary M Gutierrez, MSN, NP-C, CCRN
1050 Clove Rd, Hospitalist,
Staten Island, NY 10301-3627

Ph: (718) 816-6440

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).

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