Mylene Lilian Gonzales, in Lilburn, GA - Medicare Nurse Practitioner

Mylene Lilian Gonzales, is a medicare enrolled "Nurse Practitioner - Gerontology" in Lilburn, Georgia. Her current practice location is 5727 Grove Farm Ct Nw, Lilburn, Georgia. You can reach out to her office (for appointments etc.) via phone at (770) 403-2186.

Mylene Lilian Gonzales is licensed to practice in Georgia (license number RN249672) 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 1396345948.

Contact Information

	Mylene Lilian Gonzales,
	5727 Grove Farm Ct Nw, Lilburn, GA 30047-6081
	(770) 403-2186
	Not Available

Map and Direction

Provider's Profile

Full Name	Mylene Lilian Gonzales
Gender	Female
Speciality	Nurse Practitioner - Gerontology
Location	5727 Grove Farm Ct Nw, Lilburn, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1396345948
Provider Enumeration Date: 10/31/2020
Last Update Date: 03/23/2023

Medicare PECOS Information:

PECOS PAC ID: 0648645549
Enrollment ID: I20230406001204

Medical Identifiers

Medical identifiers for Mylene Lilian Gonzales such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1396345948	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2100X	Nurse Practitioner - Acute Care	RN249672 (Georgia)	Secondary
363LG0600X	Nurse Practitioner - Gerontology	RN249672 (Georgia)	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. Mylene Lilian Gonzales allows following entities to bill medicare on her behalf.

Entity Name	Preferred Healthcare Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1639884117 PECOS PAC ID: 3678946571 Enrollment ID: O20230223001529

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. Mylene Lilian 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
Mylene Lilian Gonzales, 5727 Grove Farm Ct Nw, Lilburn, GA 30047-6081 Ph: (770) 403-2186	Mylene Lilian Gonzales, 5727 Grove Farm Ct Nw, Lilburn, GA 30047-6081 Ph: (770) 403-2186

Reviews and Comments

Nurse Practitioner Nurses in Lilburn, GA

Todd Bender, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5032 Green Oak Dr Sw, Lilburn, GA 30047 Phone: 678-978-2584
Anne Florence Bakinde, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2772 Cliffview Dr Sw, Lilburn, GA 30047 Phone: 770-870-7051
Ms. Esther Djangmaakwor Narhmartey-darku, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 160 Emily Dr Sw, Lilburn, GA 30047 Phone: 404-513-1511
Omoyeme Aliceson Ehizuelen, APRN, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 680 Hillcrest Rd Nw Ste 400, Lilburn, GA 30047 Phone: 404-566-8045 Fax: 404-999-6787
Srutte Panta, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3151 Royal Creek Way Sw, Lilburn, GA 30047 Phone: 404-345-4420
Sana Ali, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4120 Five Forks Trickum Rd Sw, Lilburn, GA 30047 Phone: 770-255-3491
Karen L Jimenez, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 950 Indian Trail Lilburn Rd Nw Ste 5d, Lilburn, GA 30047 Phone: 470-545-2131

Mylene Lilian Gonzales, - Medicare Nurse Practitioner in Lilburn, GA