Gretzky K Fuentes, - Medicare Counselor in Miami, FL

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Gretzky K Fuentes, is a medicare enrolled "Counselor - Mental Health" provider in Miami, Florida. Her current practice location is 12595 Sw 137th Ave Ste 110, Miami, Florida. You can reach out to her office (for appointments etc.) via phone at (305) 465-9379.

Gretzky K Fuentes is licensed to practice in Florida (license number MH21228) 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 1568178093.

Contact Information

Gretzky K Fuentes,
12595 Sw 137th Ave Ste 110,
Miami, FL 33186-4218
(305) 465-9379
(305) 203-4672

Map and Direction


Healthcare Provider's Profile

Full NameGretzky K Fuentes
GenderFemale
SpecialityCounselor - Mental Health
Location12595 Sw 137th Ave Ste 110, Miami, Florida
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1568178093
  • Provider Enumeration Date: 01/27/2023
  • Last Update Date: 01/27/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 7315397189
  • Enrollment ID: I20231220002706

Medical Identifiers

Medical identifiers for Gretzky K Fuentes such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1568178093NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YM0800XCounselor - Mental Health MH21228 (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. Gretzky K Fuentes allows following entities to bill medicare on her behalf.
Entity NameAstro Health And Rehab Center Llc
Entity TypePart B Supplier - Physical/occupational Therapy Group In Private Practice
Entity IdentifiersNPI Number: 1154888402
PECOS PAC ID: 8224364914
Enrollment ID: O20190802000691
Entity NameProgressive Medical Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013592195
PECOS PAC ID: 8820497423
Enrollment ID: O20210602001819
Entity NameVitas Medical Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1992403562
PECOS PAC ID: 9335500677
Enrollment ID: O20230802002015

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. Gretzky K Fuentes 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 AddressPractice Location Address
Gretzky K Fuentes,
12595 Sw 137th Ave Ste 110,
Miami, FL 33186-4218

Ph: (305) 465-9379		Gretzky K Fuentes,
12595 Sw 137th Ave Ste 110,
Miami, FL 33186-4218

Ph: (305) 465-9379

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.