Dr Nicholas Mark Gutierrez, MD - Medicare Radiology in Albany, GA

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Dr Nicholas Mark Gutierrez, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Albany, Georgia. His current practice location is 2624 Dawson Rd, Albany, Georgia. You can reach out to his office (for appointments etc.) via phone at (229) 888-1624.

Dr Nicholas Mark Gutierrez is licensed to practice in Florida (license number ME125720) 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 1457643033.

Contact Information

Dr Nicholas Mark Gutierrez, MD
2624 Dawson Rd,
Albany, GA 31707-1609
(229) 888-1624
Not Available

Map and Direction




Physician's Profile

Full NameDr Nicholas Mark Gutierrez
GenderMale
SpecialityRadiology - Diagnostic Radiology
Location2624 Dawson Rd, Albany, Georgia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1457643033
  • Provider Enumeration Date: 05/13/2011
  • Last Update Date: 04/09/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 5294020939
  • Enrollment ID: I20180109000897

Medical Identifiers

Medical identifiers for Dr Nicholas Mark Gutierrez such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1457643033NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0202XRadiology - Diagnostic Radiology ME125720 (Florida)Primary
2085R0202XRadiology - Diagnostic Radiology 101802 (Georgia)Secondary

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 Nicholas Mark Gutierrez allows following entities to bill medicare on his behalf.
Entity NameQmg, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1790079309
PECOS PAC ID: 2961590435
Enrollment ID: O20120710000101
Entity NameNorth Star Mri Lp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1033174701
PECOS PAC ID: 5890762330
Enrollment ID: O20230505001092
Entity NameNorth Star Gv Lp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1922512664
PECOS PAC ID: 0648539023
Enrollment ID: O20240208003814
Entity NameSynergy Radiology Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1588229918
PECOS PAC ID: 2668727744
Enrollment ID: O20240315003549
Entity NameNorth Star Cn Lp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013305945
PECOS PAC ID: 0547589376
Enrollment ID: O20240917002441
Entity NameNorth Star Diagnostic Imaging Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1467787739
PECOS PAC ID: 8729118021
Enrollment ID: O20241021002963
Entity NameNorth Star Mcd Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1700550282
PECOS PAC ID: 2668659434
Enrollment ID: O20241106002545
Entity NameNorth Star Fm Lp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1174812028
PECOS PAC ID: 1153591763
Enrollment ID: O20241111002616
Entity NameNorth Star Fp Lp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1033630835
PECOS PAC ID: 6800168576
Enrollment ID: O20241115003298
Entity NameNorth Star Mri Of Frisco Lp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1649356759
PECOS PAC ID: 2769574854
Enrollment ID: O20241216003193
Entity NameNorth Star Npt Lp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1699387647
PECOS PAC ID: 8426468265
Enrollment ID: O20250124001619

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 Nicholas Mark 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 Nicholas Mark Gutierrez, MD
700 E Morehead St Ste 300,
Charlotte, NC 28202-2742

Ph: () -		Dr Nicholas Mark Gutierrez, MD
2624 Dawson Rd,
Albany, GA 31707-1609

Ph: (229) 888-1624

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.