Tiffany A Gonzalo, CRNP in Roanoke, VA - Medicare Nurse Practitioner

Tiffany A Gonzalo, CRNP is a medicare enrolled "Nurse Practitioner - Family" in Roanoke, Virginia. She graduated from nursing school in 2011 and has 13 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Carilion Healthcare Corporation and her current practice location is 1229 3rd St Sw, Roanoke, Virginia. You can reach out to her office (for appointments etc.) via phone at (540) 512-5200.

Tiffany A Gonzalo is licensed to practice in Virginia (license number 0024185508) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1700167822.

Contact Information

	Tiffany A Gonzalo, CRNP
	1229 3rd St Sw, Roanoke, VA 24016-4611
	(540) 512-5200
	(540) 982-7189

Map and Direction

Provider's Profile

Full Name	Tiffany A Gonzalo
Gender	Female
Speciality	Nurse Practitioner
Experience	13 Years
Location	1229 3rd St Sw, Roanoke, Virginia
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Tiffany A Gonzalo graduated from nursing school in 2011

NPI Data:

NPI Number: 1700167822
Provider Enumeration Date: 09/02/2011
Last Update Date: 07/04/2024

Medicare PECOS Information:

PECOS PAC ID: 1456523315
Enrollment ID: I20221110002795

Medical Identifiers

Medical identifiers for Tiffany A Gonzalo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1700167822	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	0024185508 (Virginia)	Primary
363LF0000X	Nurse Practitioner - Family	SP011520 (Pennsylvania)	Secondary
363L00000X	Nurse Practitioner	0024185508 (Virginia)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Carilion Medical Center	Roanoke, VA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Carilion Healthcare Corporation	5890607253	419

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. Tiffany A Gonzalo allows following entities to bill medicare on her behalf.

Entity Name	Carilion Healthcare Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1447206370 PECOS PAC ID: 5890607253 Enrollment ID: O20031106000273

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. Tiffany A Gonzalo 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
Tiffany A Gonzalo, CRNP 213 S Jefferson St Ste 1006, Roanoke, VA 24011-1713 Ph: (540) 224-5715	Tiffany A Gonzalo, CRNP 1229 3rd St Sw, Roanoke, VA 24016-4611 Ph: (540) 512-5200

Reviews and Comments

Nurse Practitioner Nurses in Roanoke, VA

Catherine Campbell Parker, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3716 Melrose Ave Nw, Roanoke, VA 24017 Phone: 540-362-0360
Mrs. Modupe Oluwaseyi Jolaoso White, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3 Riverside Cir, Roanoke, VA 24016 Phone: 540-224-5170 Fax: 540-983-8212
Ashlyn Brooke Conrad, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1906 Belleview Ave Se, Roanoke, VA 24014 Phone: 540-981-7000
Brandlene Leigh Ratcliffe, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5372 Fallowater Ln, Roanoke, VA 24018 Phone: 540-283-6000
Victoria Shelly, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6415 Peters Creek Rd, Roanoke, VA 24019 Phone: 540-265-5500
Beverly Ann Jones, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2001 Crystal Spring Ave Sw Ste 201, Roanoke, VA 24014 Phone: 540-853-0100 Fax: 540-342-9308
Rosemary Anne Zaucha, MSN, MA, AGNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1906 Belleview Ave Se, Roanoke, VA 24014 Phone: 540-981-7000 Fax: 540-981-8429

Tiffany A Gonzalo, CRNP - Medicare Nurse Practitioner in Roanoke, VA