Aleksandar Gutalj, CAA is a medicare enrolled "Anesthesiologist Assistant" physician in Jacksonville, Florida. His current practice location is
1 Shircliff Way, Jacksonville, Florida. You can reach out to his office (for appointments etc.) via phone at
(904) 387-4030.
Aleksandar Gutalj is licensed to practice in Florida (license number AA438) 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 1184136079.
Physician's Profile
| Full Name | Aleksandar Gutalj |
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| Gender | Male |
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| Speciality | Anesthesiologist Assistant |
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| Location | 1 Shircliff Way, Jacksonville, Florida |
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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: 1184136079
- Provider Enumeration Date: 10/31/2017
- Last Update Date: 10/07/2019
Medicare PECOS Information:
- PECOS PAC ID: 0547528747
- Enrollment ID: I20171215002682
Medical Identifiers
Medical identifiers for Aleksandar Gutalj such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1184136079 | NPI | - | NPPES |
| AA438 | Other | FL | FLORIDA BOARD OF MEDICINE MEDICAL LICENSE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207L00000X | Anesthesiology | AA438 (Florida) | Secondary |
| 367H00000X | Anesthesiologist Assistant | AA438 (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. Aleksandar Gutalj allows following entities to bill medicare on his behalf.
| Entity Name | University Of Florida Jacksonville Physicians, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1144276452
PECOS PAC ID: 9133025869
Enrollment ID: O20040128000786 |
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| Entity Name | Us Anesthesia Partners Of Florida Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1518910520
PECOS PAC ID: 0345143152
Enrollment ID: O20040129000594 |
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| Entity Name | Sunshine State Anesthesia Partners Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1437757127
PECOS PAC ID: 8123434792
Enrollment ID: O20210305000003 |
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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. Aleksandar Gutalj 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 |
|---|
Aleksandar Gutalj, CAA
8681 A C Skinner Pkwy Apt 123,
Jacksonville, FL 32256-0841
Ph: (904) 616-3374 | Aleksandar Gutalj, CAA
1 Shircliff Way,
Jacksonville, FL 32204-4748
Ph: (904) 387-4030 |
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