Mario R Fernandez Gonzalez, MD in Guayama, PR

Mario R Fernandez Gonzalez, MD is a medicare enrolled "General Practice" physician in Guayama, Puerto Rico. His current practice location is 80 Calle 3 Sur, Guayama, Puerto Rico. You can reach out to his office (for appointments etc.) via phone at (787) 866-1212.

Mario R Fernandez Gonzalez is licensed to practice in Puerto Rico (license number 21304) 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 1386106334.

Contact Information

	Mario R Fernandez Gonzalez, MD
	80 Calle 3 Sur, Guayama, PR 00784
	(787) 866-1212
	Not Available

Map and Direction

Physician's Profile

Full Name	Mario R Fernandez Gonzalez
Gender	Male
Speciality	General Practice
Location	80 Calle 3 Sur, Guayama, Puerto Rico
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1386106334
Provider Enumeration Date: 04/01/2019
Last Update Date: 07/26/2021

Medicare PECOS Information:

PECOS PAC ID: 3678956661
Enrollment ID: I20220824002504

Medical Identifiers

Medical identifiers for Mario R Fernandez Gonzalez such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1386106334	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208D00000X	General Practice	21304 (Puerto Rico)	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. Mario R Fernandez Gonzalez allows following entities to bill medicare on his behalf.

Entity Name	Centro Medico Del Turabo Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1710107883 PECOS PAC ID: 9335051952 Enrollment ID: O20080212000105

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. Mario R Fernandez 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
Mario R Fernandez Gonzalez, MD W8-27 Calle Tirso De Molina, San Juan, PR 00926-6809 Ph: (305) 775-8792	Mario R Fernandez Gonzalez, MD 80 Calle 3 Sur, Guayama, PR 00784 Ph: (787) 866-1212

Reviews and Comments

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Mario R Fernandez Gonzalez, MD - Medicare General Practice in Guayama, PR