Mr Ibsen Fundora Gonzalez, APRN in Lauderdale Lakes, FL

Mr Ibsen Fundora Gonzalez, APRN is a medicare enrolled "Nurse Practitioner - Family" in Lauderdale Lakes, Florida. His current practice location is 4850 W Oakland Park Blvd Ste 201, Lauderdale Lakes, Florida. You can reach out to his office (for appointments etc.) via phone at (954) 735-3535.

Mr Ibsen Fundora Gonzalez is licensed to practice in Florida (license number APRN11008252) 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 1396354627.

Contact Information

	Mr Ibsen Fundora Gonzalez, APRN
	4850 W Oakland Park Blvd Ste 201, Lauderdale Lakes, FL 33313-7268
	(954) 735-3535
	(954) 484-7000

Map and Direction

Provider's Profile

Full Name	Mr Ibsen Fundora Gonzalez
Gender	Male
Speciality	Nurse Practitioner - Family
Location	4850 W Oakland Park Blvd Ste 201, Lauderdale Lakes, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1396354627
Provider Enumeration Date: 07/22/2020
Last Update Date: 09/18/2020

Medicare PECOS Information:

PECOS PAC ID: 6901226711
Enrollment ID: I20201016001169

Medical Identifiers

Medical identifiers for Mr Ibsen Fundora Gonzalez such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1396354627	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	APRN11008252 (Florida)	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 Ibsen Fundora Gonzalez allows following entities to bill medicare on his behalf.

Entity Name	Total Orthopaedic Care Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1558317545 PECOS PAC ID: 6709852957 Enrollment ID: O20040908001365

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 Ibsen Fundora 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
Mr Ibsen Fundora Gonzalez, APRN 2610 Sw 114th Ave, Miami, FL 33165-2106 Ph: (561) 255-9330	Mr Ibsen Fundora Gonzalez, APRN 4850 W Oakland Park Blvd Ste 201, Lauderdale Lakes, FL 33313-7268 Ph: (954) 735-3535

Reviews and Comments

Nurse Practitioner Nurses in Lauderdale Lakes, FL

Rajani Rigaud, MSN, APRN, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2331 N State Road 7 Ste 207, Lauderdale Lakes, FL 33313 Phone: 954-530-6558
Ms. Stephanie Vietinghoff, MSN AGACNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5000 W Oakland Park Blvd, Lauderdale Lakes, FL 33313 Phone: 954-735-6000
Shara Alicia Haye Nicaragua, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5000 W Oakland Park Blvd, Lauderdale Lakes, FL 33313 Phone: 954-735-6000
Catherine M Njagi, RN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4800 N State Rd 7 F103, Suite A, Lauderdale Lakes, FL 33319 Phone: 954-884-5859
Jennifer Evans, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4850 W Oakland Park Blvd Ste 136, Lauderdale Lakes, FL 33313 Phone: 844-665-4827
Sarah Beyda Jeanty, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4400 N State Road 7, Lauderdale Lakes, FL 33319 Phone: 954-486-8020 Fax: 954-486-8983
Paule Thomas, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2589 N State Road 7, Chen Medical Lauderhill, Inc, Lauderdale Lakes, FL 33313 Phone: 954-714-1264 Fax: 954-714-1271

Mr Ibsen Fundora Gonzalez, APRN - Medicare Nurse Practitioner in Lauderdale Lakes, FL