Andrea Cristina Gonzalez, MD is a medicare enrolled "Family Medicine" physician in Saint Marys, Ohio. She went to Wright State University Boonshoft School Of Medicine and graduated in 2005 and has 19 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Jtdm Family Practice Llc and her current practice location is
1140 S Knoxville Ave Ste A, Saint Marys, Ohio. You can reach out to her office (for appointments etc.) via phone at
(419) 394-9959.
Andrea Cristina Gonzalez is licensed to practice in Ohio (license number 35.142696) 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 1437312147.
Physician's Profile
Full Name | Andrea Cristina Gonzalez |
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Gender | Female |
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Speciality | Family Practice |
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Experience | 19 Years |
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Location | 1140 S Knoxville Ave Ste A, Saint Marys, Ohio |
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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:
- Andrea Cristina Gonzalez attended and graduated from Wright State University Boonshoft School Of Medicine in 2005
NPI Data:
- NPI Number: 1437312147
- Provider Enumeration Date: 07/03/2008
- Last Update Date: 12/06/2021
Medicare PECOS Information:
- PECOS PAC ID: 8224198270
- Enrollment ID: I20210825003388
Medical Identifiers
Medical identifiers for Andrea Cristina Gonzalez such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1437312147 | NPI | - | NPPES |
0455916 | Medicaid | OH | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | 35.142696 (Ohio) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Jtdm Family Practice Llc | 2163415837 | 39 |
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. Andrea Cristina Gonzalez allows following entities to bill medicare on her behalf.
Entity Name | Jtdm Family Practice Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1184652539 PECOS PAC ID: 2163415837 Enrollment ID: O20040407000863 |
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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. Andrea Cristina 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 |
Andrea Cristina Gonzalez, MD 1140 S Knoxville Ave Ste D, Saint Marys, OH 45885-2609 Ph: (419) 300-1129 | Andrea Cristina Gonzalez, MD 1140 S Knoxville Ave Ste A, Saint Marys, OH 45885-2609 Ph: (419) 394-9959 |
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