Mr Joel Kertznus, MD - Medicare Gastroenterology in Hialeah, FL

Mr Joel Kertznus, MD is a medicare enrolled "Internal Medicine - Gastroenterology" physician in Hialeah, Florida. He graduated from medical school in 1997 and has 27 years of diverse experience with area of expertise as Gastroenterology. He is a member of the group practice Digestive Medicine Associates and his current practice location is 2140 W 68th St, Suite 300, Hialeah, Florida. You can reach out to his office (for appointments etc.) via phone at (305) 822-4107.

Mr Joel Kertznus is licensed to practice in Florida (license number ME89004) 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 1487639308.

Contact Information

Mr Joel Kertznus, MD
2140 W 68th St, Suite 300,
Hialeah, FL 33016-1815
(305) 822-4107
(305) 822-5086

Map and Direction




Physician's Profile

Full NameMr Joel Kertznus
GenderMale
SpecialityGastroenterology
Experience27 Years
Location2140 W 68th St, Hialeah, Florida
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mr Joel Kertznus graduated from medical school in 1997
  NPI Data:
  • NPI Number: 1487639308
  • Provider Enumeration Date: 12/14/2005
  • Last Update Date: 03/21/2013
  Medicare PECOS Information:
  • PECOS PAC ID: 8022067941
  • Enrollment ID: I20080308000085

Medical Identifiers

Medical identifiers for Mr Joel Kertznus such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1487639308NPI-NPPES
278181600MedicaidFL

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RG0100XInternal Medicine - Gastroenterology ME89004 (Florida)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Digestive Medicine Associates377951010215

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. Mr Joel Kertznus allows following entities to bill medicare on his behalf.
Entity NameDigestive Medicine Associates
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1700867488
PECOS PAC ID: 3779510102
Enrollment ID: O20050718000810

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. Mr Joel Kertznus 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
Mr Joel Kertznus, MD
2140 W 68th St, Suite 305,
Hialeah, FL 33016-1815

Ph: (305) 822-4107
Mr Joel Kertznus, MD
2140 W 68th St, Suite 300,
Hialeah, FL 33016-1815

Ph: (305) 822-4107

Reviews and Comments


Internal Medicine Doctors in Hialeah, FL

Onix Cesar Garib Alpizar, MD
Gastroenterology
Medicare: Medicare Enrolled
Practice Location: 2140 W 68th St Ste 300, Hialeah, FL 33016
Phone: 305-822-4107    Fax: 305-822-5086
Aaron Rodas,
Gastroenterology
Medicare: Medicare Enrolled
Practice Location: 1475 W 49th Pl, Hialeah, FL 33012
Phone: 305-558-2500    
Mary Jo Villar, D.O.
Gastroenterology
Medicare: Not Enrolled in Medicare
Practice Location: 7600 W 20th Ave, Ste 103-104, Hialeah, FL 33016
Phone: 305-231-3150    Fax: 305-231-5020
Francisco J Dieguez Jr., MD
Gastroenterology
Medicare: Accepting Medicare Assignments
Practice Location: 145 E 49th St, Hialeah, FL 33013
Phone: 305-575-1776    Fax: 305-575-1780
Miguel A. Diaz, MD
Gastroenterology
Medicare: Accepting Medicare Assignments
Practice Location: 7100 W 20th Ave Ste 205, Hialeah, FL 33016
Phone: 305-817-1344    Fax: 305-817-1355
Reynier Pomares Castillo, MD
Gastroenterology
Medicare: Medicare Enrolled
Practice Location: 5961 Nw 173rd Dr, Hialeah, FL 33015
Phone: 305-556-7500    Fax: 305-851-5708
Manuel Suarez, M.D.
Gastroenterology
Medicare: Not Enrolled in Medicare
Practice Location: 1435 W 49th Pl, Suite 207, Hialeah, FL 33012
Phone: 305-556-8556    Fax: 305-556-6112

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.