Flavio A Gonzalez, is a medicare enrolled "Nurse Practitioner" physician in Fresno, California. His current practice location is
7045 N Maple Ave Ste 108, Fresno, California. You can reach out to his office (for appointments etc.) via phone at
(559) 746-9605.
Flavio A Gonzalez is licensed to practice in California (license number 95028765) 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 1407613920.
Physician's Profile
| Full Name | Flavio A Gonzalez |
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| Gender | Male |
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| Speciality | Nurse Practitioner |
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| Location | 7045 N Maple Ave Ste 108, Fresno, California |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1407613920
- Provider Enumeration Date: 03/01/2024
- Last Update Date: 01/07/2025
Medicare PECOS Information:
- PECOS PAC ID: 2264977685
- Enrollment ID: I20240710002085
Medical Identifiers
Medical identifiers for Flavio A Gonzalez such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1407613920 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207Q00000X | Family Medicine | NP95028765 (California) | Secondary |
| 363L00000X | Nurse Practitioner | 95028765 (California) | 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. Flavio A Gonzalez allows following entities to bill medicare on his behalf.
| Entity Name | Community Foundation Medical Group |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1811258510 PECOS PAC ID: 0345406294 Enrollment ID: O20120723000387 |
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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. Flavio A Gonzalez 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 |
Flavio A Gonzalez, 820 S Akers St Ste 120, Visalia, CA 93277-8306 Ph: () - | Flavio A Gonzalez, 7045 N Maple Ave Ste 108, Fresno, CA 93720-8008 Ph: (559) 746-9605 |
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