Yesenia Gonzalez, PA-C is a medicare enrolled "Physician Assistant" in Fulton, Mississippi. Her current practice location is
407 Interchange Dr, Fulton, Mississippi. You can reach out to her office (for appointments etc.) via phone at
(662) 269-8000.
Yesenia Gonzalez is licensed to practice in Mississippi (license number PA00788) 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 1982461794.
Provider's Profile
Full Name | Yesenia Gonzalez |
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Gender | Female |
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Speciality | Physician Assistant |
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Location | 407 Interchange Dr, Fulton, Mississippi |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1982461794
- Provider Enumeration Date: 02/28/2024
- Last Update Date: 04/05/2024
Medicare PECOS Information:
- PECOS PAC ID: 5496297301
- Enrollment ID: I20240606003473
Medical Identifiers
Medical identifiers for Yesenia Gonzalez such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1982461794 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363A00000X | Physician Assistant | PA00788 (Mississippi) | Primary |
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. Yesenia 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 |
Yesenia Gonzalez, PA-C 874 Barnes Crossing Road, Tupelo, MS 38804-0909 Ph: (662) 841-0002 | Yesenia Gonzalez, PA-C 407 Interchange Dr, Fulton, MS 38843-6029 Ph: (662) 269-8000 |
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