Dr Gabriel Kwame Mayerson, DNP is a medicare enrolled "Nurse Practitioner - Acute Care" physician in Orange City, Florida. His current practice location is
1075 Town Center Dr, Orange City, Florida. You can reach out to his office (for appointments etc.) via phone at
(386) 917-0333.
Dr Gabriel Kwame Mayerson is licensed to practice in Florida (license number 11034886) 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 1306678255.
Physician's Profile
| Full Name | Dr Gabriel Kwame Mayerson |
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| Gender | Male |
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| Speciality | Nurse Practitioner - Acute Care |
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| Location | 1075 Town Center Dr, Orange City, 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: 1306678255
- Provider Enumeration Date: 08/19/2024
- Last Update Date: 06/09/2025
Medicare PECOS Information:
- PECOS PAC ID: 1355860750
- Enrollment ID: I20250529001219
Medical Identifiers
Medical identifiers for Dr Gabriel Kwame Mayerson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1306678255 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207RC0200X | Internal Medicine - Critical Care Medicine | 11034886 (Florida) | Secondary |
| 207RP1001X | Internal Medicine - Pulmonary Disease | 11034886 (Florida) | Secondary |
| 363LA2100X | Nurse Practitioner - Acute Care | 11034886 (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. Dr Gabriel Kwame Mayerson allows following entities to bill medicare on his behalf.
| Entity Name | Pulmonary Practice Associates Md Pa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1114929643
PECOS PAC ID: 3779474333
Enrollment ID: O20040323000731 |
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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. Dr Gabriel Kwame Mayerson 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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Dr Gabriel Kwame Mayerson, DNP
1075 Town Center Dr,
Orange City, FL 32763-8360
Ph: (386) 917-0333 | Dr Gabriel Kwame Mayerson, DNP
1075 Town Center Dr,
Orange City, FL 32763-8360
Ph: (386) 917-0333 |
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