Hector Manuel Gutierrez Jr, PA C is a medicare enrolled "Physician Assistant" physician in Pasco, Washington. His current practice location is
520 N 4th Ave, Pasco, Washington. You can reach out to his office (for appointments etc.) via phone at
(509) 547-7704.
Hector Manuel Gutierrez Jr is licensed to practice in Washington (license number PA10003370) 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 1043256233.
Physician's Profile
| Full Name | Hector Manuel Gutierrez Jr |
|---|
| Gender | Male |
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| Speciality | Physician Assistant |
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| Location | 520 N 4th Ave, Pasco, Washington |
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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: 1043256233
- Provider Enumeration Date: 06/22/2006
- Last Update Date: 04/16/2013
Medicare PECOS Information:
- PECOS PAC ID: 4385691203
- Enrollment ID: I20050404000311
Medical Identifiers
Medical identifiers for Hector Manuel Gutierrez Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1043256233 | NPI | - | NPPES |
| 0222295 | Other | WA | LIWA |
| 8323081 | Medicaid | WA | |
| 3945GU | Other | WA | BSWA |
| 3075GU | Other | WA | BSWA |
| 0202688 | Other | WA | LIWA |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207P00000X | Emergency Medicine | PA10003370 (Washington) | Secondary |
| 363A00000X | Physician Assistant | PA10003370 (Washington) | Primary |
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. Hector Manuel Gutierrez Jr 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 |
|---|
Hector Manuel Gutierrez Jr, PA C
505 S 336th St, Suite 600,
Federal Way, WA 98003-6328
Ph: (253) 838-6180 | Hector Manuel Gutierrez Jr, PA C
520 N 4th Ave,
Pasco, WA 99301-5257
Ph: (509) 547-7704 |
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