Mitchell J Guanzon, APRN is a medicare enrolled "Nurse Practitioner - Family" physician in Melbourne, Florida. He went to Florida International Univ, College Of Medicine and graduated in 2018 and has 8 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Intensive Care Experts Health Network, Llc and his current practice location is
1350 Hickory St, Melbourne, Florida. You can reach out to his office (for appointments etc.) via phone at
(321) 434-1771.
Mitchell J Guanzon is licensed to practice in Florida (license number APRN9453440) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1992288278.
Physician's Profile
| Full Name | Mitchell J Guanzon |
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| Gender | Male |
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| Speciality | Nurse Practitioner |
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| Experience | 8 Years |
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| Location | 1350 Hickory St, Melbourne, Florida |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Mitchell J Guanzon attended and graduated from Florida International Univ, College Of Medicine in 2018
NPI Data:
- NPI Number: 1992288278
- Provider Enumeration Date: 09/12/2018
- Last Update Date: 01/08/2024
Medicare PECOS Information:
- PECOS PAC ID: 8527303882
- Enrollment ID: I20181214002629
Medical Identifiers
Medical identifiers for Mitchell J Guanzon such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1992288278 | NPI | - | NPPES |
| SA763 | Other | FL | MEDICARE HF |
| 120325200 | Medicaid | FL | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208M00000X | Hospitalist | APRN9453440 (Florida) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | APRN9453440 (Florida) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Intensive Care Experts Health Network, Llc | 6608195599 | 94 |
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. Mitchell J Guanzon allows following entities to bill medicare on his behalf.
| Entity Name | Florida Hospital Medicine Services, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1508873183
PECOS PAC ID: 7810129640
Enrollment ID: O20140410000465 |
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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. Mitchell J Guanzon 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 |
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Mitchell J Guanzon, APRN
3300 S Fiske Blvd,
Rockledge, FL 32955-4306
Ph: (321) 434-1771 | Mitchell J Guanzon, APRN
1350 Hickory St,
Melbourne, FL 32901-3224
Ph: (321) 434-1771 |
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