Dr Ivan Gonzalez, DPM is a medicare enrolled "Podiatrist" provider in Saint Albans, New York. His current practice location is
18710 Linden Blvd, Saint Albans, New York. You can reach out to his office (for appointments etc.) via phone at
(718) 723-1769.
Dr Ivan Gonzalez is licensed to practice in New York (license number N005253) 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 1568442838.
Healthcare Provider's Profile
| Full Name | Dr Ivan Gonzalez |
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| Gender | Male |
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| Speciality | Podiatrist |
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| Location | 18710 Linden Blvd, Saint Albans, New York |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1568442838
- Provider Enumeration Date: 01/20/2006
- Last Update Date: 11/10/2010
Medicare PECOS Information:
- PECOS PAC ID: 6305020306
- Enrollment ID: I20120302000306
Medical Identifiers
Medical identifiers for Dr Ivan Gonzalez such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1568442838 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 213E00000X | Podiatrist | N005253 (New York) | 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. Dr Ivan Gonzalez allows following entities to bill medicare on his behalf.
| Provider Name | New York City Health And Hospitals Corporation |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1548208127
PECOS PAC ID: 4183535305
Enrollment ID: O20040322001521 |
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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. Dr Ivan 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 |
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Dr Ivan Gonzalez, DPM
351 E 85th St, 4a,
New York, NY 10028-4556
Ph: (212) 734-9013 | Dr Ivan Gonzalez, DPM
18710 Linden Blvd,
Saint Albans, NY 11412-4026
Ph: (718) 723-1769 |
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