Ms Marianty Mavros Gonzalez, RN in Boston, MA

Ms Marianty Mavros Gonzalez, RN is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Boston, Massachusetts. Her current practice location is 185 Devonshire St Ste 109, Boston, Massachusetts. You can reach out to her office (for appointments etc.) via phone at (781) 725-6586.

Ms Marianty Mavros Gonzalez is licensed to practice in Massachusetts (license number RN2364616) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1487363339.

Contact Information

	Ms Marianty Mavros Gonzalez, RN
	185 Devonshire St Ste 109, Boston, MA 02110-1407
	(781) 725-6586
	Not Available

Map and Direction

Provider's Profile

Full Name	Ms Marianty Mavros Gonzalez
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	185 Devonshire St Ste 109, Boston, Massachusetts
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1487363339
Provider Enumeration Date: 11/18/2022
Last Update Date: 08/21/2023

Medicare PECOS Information:

PECOS PAC ID: 4789031824
Enrollment ID: I20231109003802

Medical Identifiers

Medical identifiers for Ms Marianty Mavros Gonzalez such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1487363339	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	2212111333 (Michigan)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	RN2364616 (Massachusetts)	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. Ms Marianty Mavros Gonzalez allows following entities to bill medicare on her behalf.

Entity Name	Child And Family Psychological Services Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1912987181 PECOS PAC ID: 5991763823 Enrollment ID: O20041227000004

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. Ms Marianty Mavros 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
Ms Marianty Mavros Gonzalez, RN 3067 Avalon Rd, Rochester Hills, MI 48309-3954 Ph: (910) 709-9457	Ms Marianty Mavros Gonzalez, RN 185 Devonshire St Ste 109, Boston, MA 02110-1407 Ph: (781) 725-6586

Reviews and Comments

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Ms Marianty Mavros Gonzalez, RN - Medicare Nurse Practitioner in Boston, MA