Mariantonieta Tirado Gonzalez, MD - Medicare Pathology in Memphis, TN

Mariantonieta Tirado Gonzalez, MD is a medicare enrolled "Pathology - Dermatopathology" physician in Memphis, Tennessee. She graduated from medical school in 2000 and has 24 years of diverse experience with area of expertise as Pathology. She is a member of the group practice Shelby County Health Care Corporation and her current practice location is 930 Madison Ave Ste 890, Memphis, Tennessee. You can reach out to her office (for appointments etc.) via phone at (901) 866-8834.

Mariantonieta Tirado Gonzalez is licensed to practice in Tennessee (license number 60822) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1396025060.

Contact Information

Mariantonieta Tirado Gonzalez, MD
930 Madison Ave Ste 890,
Memphis, TN 38103-3413
(901) 866-8834
Not Available

Map and Direction




Physician's Profile

Full NameMariantonieta Tirado Gonzalez
GenderFemale
SpecialityPathology
Experience24 Years
Location930 Madison Ave Ste 890, Memphis, Tennessee
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mariantonieta Tirado Gonzalez graduated from medical school in 2000
  NPI Data:
  • NPI Number: 1396025060
  • Provider Enumeration Date: 08/25/2011
  • Last Update Date: 05/08/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 8224469143
  • Enrollment ID: I20200509000019

Medical Identifiers

Medical identifiers for Mariantonieta Tirado Gonzalez such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1396025060NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207ND0900XDermatology - Dermatopathology 2019025553 (Missouri)Secondary
207ZD0900XPathology - Dermatopathology 2019025553 (Missouri)Secondary
207ZD0900XPathology - Dermatopathology 60822 (Tennessee)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Regional One HealthMemphis, TNHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Shelby County Health Care Corporation660878485522

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. Mariantonieta Tirado Gonzalez allows following entities to bill medicare on her behalf.
Entity NameUt Medical Group, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1780676650
PECOS PAC ID: 3173435369
Enrollment ID: O20031105000384
Entity NameShelby County Health Care Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1780685750
PECOS PAC ID: 6608784855
Enrollment ID: O20040709001071

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. Mariantonieta Tirado 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 AddressPractice Location Address
Mariantonieta Tirado Gonzalez, MD
1407 Union Ave Ste 700,
Memphis, TN 38104-3641

Ph: (901) 866-8003
Mariantonieta Tirado Gonzalez, MD
930 Madison Ave Ste 890,
Memphis, TN 38103-3413

Ph: (901) 866-8834

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.