Dr Mario Clark Gutierrez, MD - Medicare Anesthesiology in Jacksonville, FL

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Dr Mario Clark Gutierrez, MD is a medicare enrolled "Anesthesiology" physician in Jacksonville, Florida. His current practice location is 4500 San Pablo Rd S, Jacksonville, Florida. You can reach out to his office (for appointments etc.) via phone at (904) 953-2000.

Dr Mario Clark Gutierrez is licensed to practice in Florida (license number ME93706) 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 1538142823.

Contact Information

Dr Mario Clark Gutierrez, MD
4500 San Pablo Rd S,
Jacksonville, FL 32224-1865
(904) 953-2000
Not Available

Map and Direction




Physician's Profile

Full NameDr Mario Clark Gutierrez
GenderMale
SpecialityAnesthesiology
Location4500 San Pablo Rd S, Jacksonville, Florida
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1538142823
  • Provider Enumeration Date: 11/21/2005
  • Last Update Date: 09/02/2014
  Medicare PECOS Information:
  • PECOS PAC ID: 0143253328
  • Enrollment ID: I20050917000154

Medical Identifiers

Medical identifiers for Dr Mario Clark Gutierrez such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1538142823NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207L00000XAnesthesiology ME93706 (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 Mario Clark Gutierrez allows following entities to bill medicare on his behalf.
Entity NameNorthwood Anesthesia Associates Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1801847405
PECOS PAC ID: 8022920255
Enrollment ID: O20031105000191
Entity NameLakewood Ranch Anesthesia Pl
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1932157989
PECOS PAC ID: 9638074248
Enrollment ID: O20031205000181
Entity NameAnesthesia Dynamics Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1073001012
PECOS PAC ID: 3779832530
Enrollment ID: O20190820001117

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 Mario Clark Gutierrez 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
Dr Mario Clark Gutierrez, MD
4500 San Pablo Rd S,
Jacksonville, FL 32224-1865

Ph: (904) 953-2000		Dr Mario Clark Gutierrez, MD
4500 San Pablo Rd S,
Jacksonville, FL 32224-1865

Ph: (904) 953-2000

Reviews and Comments


Anesthesiology Doctors in Jacksonville, FL

Dr. Matthew Duwain Warrick, M.D.
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Medicare: Accepting Medicare Assignments
Practice Location: 655 W 8th St, Jacksonville, FL 32209
Phone: 904-244-4195    Fax: 904-244-4908
Dr. Andrea V Rivero, DO
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Practice Location: 4500 San Pablo Rd, Jacksonville, FL 32224
Phone: 904-953-2000    
Jared Paul Knecht, DO
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Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224
Phone: 904-953-2000    
Peter Louis Kovacs, MD
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Practice Location: 3625 University Blvd S, Jacksonville, FL 32216
Phone: 904-421-2119    
David Mcenerney Jr., DO
Anesthesiology
Medicare: Accepting Medicare Assignments
Practice Location: 555 West 8th Street, 2nd Floor Pavilion, Jacksonville, FL 32209
Phone: 904-383-1020    
M. Elizabeth B Perry, M.D.
Anesthesiology
Medicare: Not Enrolled in Medicare
Practice Location: 820 Prudential Dr, Suite 606, Jacksonville, FL 32207
Phone: 904-398-3356    Fax: 904-398-5397
Zachary J Fleissner, DO
Anesthesiology
Medicare: Accepting Medicare Assignments
Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224
Phone: 904-953-2000    

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.