Mrs Mary Irene Gonzales Rey, PA-C is a
Physician Assistant based in Irvine, California. Mrs Mary Irene Gonzales Rey is licensed to practice in California (license number 21825) and her current practice location is
4950 Barranca Pkwy Ste 104, Irvine, California. She can be reached at her office (for appointments etc.) via phone at
(949) 857-1248.
NPI number for Mrs Mary Irene Gonzales Rey is 1770871576 and her current mailing address is Po Box 3699, Newport Beach, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1770871576.
Healthcare Provider's Profile
| Full Name | Mrs Mary Irene Gonzales Rey |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Location | 4950 Barranca Pkwy Ste 104, Irvine, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1770871576
- Provider Enumeration Date: 07/13/2011
- Last Update Date: 09/25/2019
Medical Identifiers
Medical identifiers for Mrs Mary Irene Gonzales Rey such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1770871576 | NPI | - | NPPES |
| CB275687 | Other | CA | MEDICARE |
| P01319747 | Other | CA | MEDICARE RAILROAD |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225100000X | Physical Therapist | 16685 (California) | Secondary |
| 363A00000X | Physician Assistant | 21825 (California) | 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. Mrs Mary Irene Gonzales Rey 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 |
|---|
Mrs Mary Irene Gonzales Rey, PA-C
Po Box 3699,
Newport Beach, CA 92659-8699
Ph: (657) 241-3600 | Mrs Mary Irene Gonzales Rey, PA-C
4950 Barranca Pkwy Ste 104,
Irvine, CA 92604-8644
Ph: (949) 857-1248 |
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