Mrs Lissette Marie Gonzalez, MSN, AGACNP-BC in Miramar, FL

Mrs Lissette Marie Gonzalez, MSN, AGACNP-BC is a medicare enrolled "Nurse Practitioner - Acute Care" in Miramar, Florida. Her current practice location is 4321 Sw 160th Ave Apt 104, Miramar, Florida. You can reach out to her office (for appointments etc.) via phone at (954) 604-5144.

Mrs Lissette Marie Gonzalez is licensed to practice in Florida (license number 11022678) 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 1649988650.

Contact Information

	Mrs Lissette Marie Gonzalez, MSN, AGACNP-BC
	4321 Sw 160th Ave Apt 104, Miramar, FL 33027-5763
	(954) 604-5144
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Lissette Marie Gonzalez
Gender	Female
Speciality	Nurse Practitioner - Acute Care
Location	4321 Sw 160th Ave Apt 104, Miramar, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1649988650
Provider Enumeration Date: 11/08/2022
Last Update Date: 11/28/2022

Medicare PECOS Information:

PECOS PAC ID: 6204209984
Enrollment ID: I20230228000685

Medical Identifiers

Medical identifiers for Mrs Lissette Marie Gonzalez such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1649988650	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2100X	Nurse Practitioner - Acute Care	11022678 (Florida)	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. Mrs Lissette Marie Gonzalez allows following entities to bill medicare on her behalf.

Entity Name	Baptist Health Medical Group Physicians Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1891893343 PECOS PAC ID: 3870696933 Enrollment ID: O20070309000135

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 Lissette Marie 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
Mrs Lissette Marie Gonzalez, MSN, AGACNP-BC 4321 Sw 160th Ave Apt 104, Miramar, FL 33027-5763 Ph: (954) 604-5144	Mrs Lissette Marie Gonzalez, MSN, AGACNP-BC 4321 Sw 160th Ave Apt 104, Miramar, FL 33027-5763 Ph: (954) 604-5144

Reviews and Comments

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Mrs Lissette Marie Gonzalez, MSN, AGACNP-BC - Medicare Nurse Practitioner in Miramar, FL