Jeffrey Michael Gonzalez, is a
Pharmacist based in Windham, New York. Jeffrey Michael Gonzalez is licensed to practice in New York (license number 057624) and his current practice location is
2868 County Route 10, Windham, New York. He can be reached at his office (for appointments etc.) via phone at
(407) 625-6535.
NPI number for Jeffrey Michael Gonzalez is 1174968945 and his current mailing address is 2868 County Route 10, Windham, New York. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1174968945.
Healthcare Provider's Profile
| Full Name | Jeffrey Michael Gonzalez |
|---|
| Gender | Male |
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| Speciality | Pharmacist |
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| Location | 2868 County Route 10, Windham, New York |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1174968945
- Provider Enumeration Date: 05/06/2013
- Last Update Date: 05/06/2013
Medical Identifiers
Medical identifiers for Jeffrey Michael Gonzalez such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1174968945 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 183500000X | Pharmacist | PS37322 (Florida) | Secondary |
| 183500000X | Pharmacist | 057624 (New York) | 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. Jeffrey Michael Gonzalez is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Jeffrey Michael Gonzalez,
2868 County Route 10,
Windham, NY 12496-1639
Ph: () - | Jeffrey Michael Gonzalez,
2868 County Route 10,
Windham, NY 12496-1639
Ph: (407) 625-6535 |
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