Elizabeth Gutierrez, APRN is a medicare enrolled "Nurse Practitioner - Family" physician in Miami, Florida. Her current practice location is
2100 Nw 107th Ave Ste 108, Miami, Florida. You can reach out to her office (for appointments etc.) via phone at
(786) 625-7100.
Elizabeth Gutierrez is licensed to practice in Florida (license number APRN9284523) 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 1942789631.
Physician's Profile
| Full Name | Elizabeth Gutierrez |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 2100 Nw 107th Ave Ste 108, Miami, 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: 1942789631
- Provider Enumeration Date: 08/13/2018
- Last Update Date: 12/06/2023
Medicare PECOS Information:
- PECOS PAC ID: 1052578838
- Enrollment ID: I20220207000053
Medical Identifiers
Medical identifiers for Elizabeth Gutierrez such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1942789631 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208D00000X | General Practice | 9284523 (Florida) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | APRN9284523 (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. Elizabeth Gutierrez allows following entities to bill medicare on her behalf.
| Entity Name | Signify Health Medical Associates Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1750845863
PECOS PAC ID: 2163764424
Enrollment ID: O20191209002247 |
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| Entity Name | Centrum Medical Holdings, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1538714282
PECOS PAC ID: 8820422991
Enrollment ID: O20191223002085 |
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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. Elizabeth 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 Address | Practice Location Address |
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Elizabeth Gutierrez, APRN
18935 Nw 85th Ave Apt 1605,
Hialeah, FL 33015-7244
Ph: () - | Elizabeth Gutierrez, APRN
2100 Nw 107th Ave Ste 108,
Miami, FL 33172-2506
Ph: (786) 625-7100 |
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