Gwendolyn Diaz Medina, MD in Kissimmee, FL

Gwendolyn Diaz Medina, MD is a medicare enrolled "General Practice" physician in Kissimmee, Florida. Her current practice location is 833 E Oak St, Kissimmee, Florida. You can reach out to her office (for appointments etc.) via phone at (844) 665-4827.

Gwendolyn Diaz Medina is licensed to practice in Florida (license number 1571) 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 1578296844.

Contact Information

	Gwendolyn Diaz Medina, MD
	833 E Oak St, Kissimmee, FL 34744-5838
	(844) 665-4827
	Not Available

Map and Direction

Physician's Profile

Full Name	Gwendolyn Diaz Medina
Gender	Female
Speciality	General Practice
Location	833 E Oak St, Kissimmee, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1578296844
Provider Enumeration Date: 07/05/2022
Last Update Date: 06/14/2024

Medicare PECOS Information:

PECOS PAC ID: 3577918358
Enrollment ID: I20231013002439

Medical Identifiers

Medical identifiers for Gwendolyn Diaz Medina such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1578296844	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208D00000X	General Practice	023427 (Puerto Rico)	Secondary
208D00000X	General Practice	1571 (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. Gwendolyn Diaz Medina allows following entities to bill medicare on her behalf.

Entity Name	Guidewell Sanitas I, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1396124046 PECOS PAC ID: 9537447107 Enrollment ID: O20161102001073

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. Gwendolyn Diaz Medina 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
Gwendolyn Diaz Medina, MD 2262 Chatham Place Dr, Orlando, FL 32824-4766 Ph: (407) 267-8203	Gwendolyn Diaz Medina, MD 833 E Oak St, Kissimmee, FL 34744-5838 Ph: (844) 665-4827

Reviews and Comments

General Practice Doctors in Kissimmee, FL

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Caridad Gonzalez, M.D. General Practice Medicare: May Accept Medicare Assignments Practice Location: 1952 N John Young Pkwy, Kissimmee, FL 34741 Phone: 407-978-6605 Fax: 407-978-6610
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Gwendolyn Diaz Medina, MD - Medicare General Practice in Kissimmee, FL