Laura Irene Gonzalez, NP is a medicare enrolled "Nurse Practitioner - Family" in Hartford, Michigan. Her current practice location is
525 S Center St, Hartford, Michigan. You can reach out to her office (for appointments etc.) via phone at
(269) 463-3600.
Laura Irene Gonzalez is licensed to practice in Michigan (license number 4704312241) 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 1306438288.
Provider's Profile
| Full Name | Laura Irene Gonzalez |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 525 S Center St, Hartford, Michigan |
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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: 1306438288
- Provider Enumeration Date: 02/11/2021
- Last Update Date: 12/01/2023
Medicare PECOS Information:
- PECOS PAC ID: 8224443312
- Enrollment ID: I20210223002590
Medical Identifiers
Medical identifiers for Laura Irene Gonzalez such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1306438288 | NPI | - | NPPES |
| 4704312241 | Other | MI | MICHIGAN NURSING LICENSE (NP) |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363LF0000X | Nurse Practitioner - Family | 4704312241 (Michigan) | 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. Laura Irene Gonzalez allows following entities to bill medicare on her behalf.
| Entity Name | Lakeland Community Hospital Watervliet |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1023114741
PECOS PAC ID: 7416942750
Enrollment ID: O20040416000984 |
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| Entity Name | Holy Family Healthcare |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1710644224
PECOS PAC ID: 7810118999
Enrollment ID: O20141015001737 |
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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. Laura Irene 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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Laura Irene Gonzalez, NP
525 S Center St,
Hartford, MI 49057-1362
Ph: () - | Laura Irene Gonzalez, NP
525 S Center St,
Hartford, MI 49057-1362
Ph: (269) 463-3600 |
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