Mr George Edward Guju Jr, AGACNP in Fairfield, OH

Mr George Edward Guju Jr, AGACNP is a medicare enrolled "Nurse Practitioner - Acute Care" in Fairfield, Ohio. He graduated from nursing school in 2020 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Tri State Urologic Services Psc Inc and his current practice location is 925 Deis Dr, Fairfield, Ohio. You can reach out to his office (for appointments etc.) via phone at (513) 841-7900.

Mr George Edward Guju Jr is licensed to practice in Ohio (license number RN.416813) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1164038725.

Contact Information

	Mr George Edward Guju Jr, AGACNP
	925 Deis Dr, Fairfield, OH 45014-8130
	(513) 841-7900
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr George Edward Guju Jr
Gender	Male
Speciality	Nurse Practitioner
Experience	4 Years
Location	925 Deis Dr, Fairfield, Ohio
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mr George Edward Guju Jr graduated from nursing school in 2020

NPI Data:

NPI Number: 1164038725
Provider Enumeration Date: 09/18/2020
Last Update Date: 09/24/2020

Medicare PECOS Information:

PECOS PAC ID: 3971913484
Enrollment ID: I20201111001332

Medical Identifiers

Medical identifiers for Mr George Edward Guju Jr such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1164038725	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2100X	Nurse Practitioner - Acute Care	RN.416813 (Ohio)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Mercy Health - Fairfield Hospital	Fairfield, OH	Hospital
Fort Hamilton Hughes Memorial Hospital	Hamilton, OH	Hospital
Bethesda North	Cincinnati, OH	Hospital
Mercy Health - West Hospital	Cincinnati, OH	Hospital
Atrium Medical Center	Franklin, OH	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Tri State Urologic Services Psc Inc	6204740889	56

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 George Edward Guju Jr allows following entities to bill medicare on his behalf.

Entity Name	Tri State Urologic Services Psc Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1396938312 PECOS PAC ID: 6204740889 Enrollment ID: O20031118000285

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 George Edward Guju Jr 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 George Edward Guju Jr, AGACNP 3943 Holman Cir, Cincinnati, OH 45236-3918 Ph: (513) 509-7618	Mr George Edward Guju Jr, AGACNP 925 Deis Dr, Fairfield, OH 45014-8130 Ph: (513) 841-7900

Reviews and Comments

Nurse Practitioner Nurses in Fairfield, OH

Sara Ann Slaughter, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3050 Mack Rd Ste 300, Fairfield, OH 45014 Phone: 513-751-2273
Madonna Lea Dechristopher, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3000 Mack Rd, Fairfield, OH 45014 Phone: 513-682-1838 Fax: 513-682-9744
Natasha Nicole Neis, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3000 Mack Rd Ste 100, Fairfield, OH 45014 Phone: 513-751-4222 Fax: 513-874-3023
Tammera Phipps, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1168 N Frieda Dr, Fairfield, OH 45014 Phone: 513-907-3547
Ernest Siaw Obeng, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5808 Red Oak Dr, Fairfield, OH 45014 Phone: 513-546-6491
Ashley Luster, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3000 Mack Rd Ste 100, Fairfield, OH 45014 Phone: 513-751-4222
Latonia Yvette Cushingberry, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 154 Twin Lakes Dr, Fairfield, OH 45014 Phone: 513-628-0627

Mr George Edward Guju Jr, AGACNP - Medicare Nurse Practitioner in Fairfield, OH