Paul Gagarin Colmenares Rodriguez, FNP in Orlando, FL

Paul Gagarin Colmenares Rodriguez, FNP is a medicare enrolled "Nurse Practitioner - Family" in Orlando, Florida. His current practice location is 10090 Madison Banks St, Orlando, Florida. You can reach out to his office (for appointments etc.) via phone at (407) 715-1683.

Paul Gagarin Colmenares Rodriguez is licensed to practice in Florida (license number F09231243) 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 1447800164.

Contact Information

	Paul Gagarin Colmenares Rodriguez, FNP
	10090 Madison Banks St, Orlando, FL 32827-6940
	(407) 715-1683
	Not Available

Map and Direction

Provider's Profile

Full Name	Paul Gagarin Colmenares Rodriguez
Gender	Male
Speciality	Nurse Practitioner - Family
Location	10090 Madison Banks St, Orlando, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1447800164
Provider Enumeration Date: 09/14/2019
Last Update Date: 10/01/2023

Medicare PECOS Information:

PECOS PAC ID: 7315383379
Enrollment ID: I20240312004150

Medical Identifiers

Medical identifiers for Paul Gagarin Colmenares Rodriguez such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1447800164	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163WR0006X	Registered Nurse - Registered Nurse First Assistant	RN-9529942 (Florida)	Secondary
246ZC0007X	Specialist/technologist, Other - Surgical Assistant	16-743 (Arizona)	Secondary
363LF0000X	Nurse Practitioner - Family	F09231243 (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. Paul Gagarin Colmenares Rodriguez allows following entities to bill medicare on his behalf.

Entity Name	Osceola Surgical Associates Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1578723540 PECOS PAC ID: 0840366126 Enrollment ID: O20080910000554

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. Paul Gagarin Colmenares Rodriguez 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
Paul Gagarin Colmenares Rodriguez, FNP 10090 Madison Banks St, Orlando, FL 32827-6940 Ph: (407) 715-1683	Paul Gagarin Colmenares Rodriguez, FNP 10090 Madison Banks St, Orlando, FL 32827-6940 Ph: (407) 715-1683

Reviews and Comments

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Mrs. Ellen G Tindal, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 60 W Gore St, Orlando, FL 32806 Phone: 321-841-3338 Fax: 321-841-2170
Ms. Dawn Michelle Fowler, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 89 W Copeland Dr, Orlando, FL 32806 Phone: 321-841-7550 Fax: 321-841-8185
Rachell Renee Davis, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 736 N Magnolia Ave, Orlando, FL 32803 Phone: 407-423-7149 Fax: 407-422-0470

Paul Gagarin Colmenares Rodriguez, FNP - Medicare Nurse Practitioner in Orlando, FL