Nicolas Antonio Gonzalez, MD in Tempe, AZ

Nicolas Antonio Gonzalez, MD is a medicare enrolled "Pediatrics" physician in Tempe, Arizona. His current practice location is 2600 E Southern Ave, Bldg. H, Tempe, Arizona. You can reach out to his office (for appointments etc.) via phone at (480) 699-7248.

Nicolas Antonio Gonzalez is licensed to practice in Arizona (license number 29730) 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 1013916659.

Contact Information

	Nicolas Antonio Gonzalez, MD
	2600 E Southern Ave, Bldg. H, Tempe, AZ 85282
	(480) 699-7248
	(480) 664-1961

Map and Direction

Physician's Profile

Full Name	Nicolas Antonio Gonzalez
Gender	Male
Speciality	Pediatrics
Location	2600 E Southern Ave, Tempe, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1013916659
Provider Enumeration Date: 07/15/2005
Last Update Date: 06/08/2011

Medicare PECOS Information:

PECOS PAC ID: 4082648977
Enrollment ID: I20050920001200

Medical Identifiers

Medical identifiers for Nicolas Antonio Gonzalez such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1013916659	NPI	-	NPPES
3Z0260	Other	AZ	HEALTHNET
610560	Medicaid	AZ

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	29730 (Arizona)	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. Nicolas Antonio Gonzalez allows following entities to bill medicare on his behalf.

Entity Name	Sandlot Pediatrics & Young Adults Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1285957134 PECOS PAC ID: 4981737830 Enrollment ID: O20100729000711

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. Nicolas Antonio 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
Nicolas Antonio Gonzalez, MD 2600 E Southern Ave, Bldg. H, Tempe, AZ 85282 Ph: (480) 699-7248	Nicolas Antonio Gonzalez, MD 2600 E Southern Ave, Bldg. H, Tempe, AZ 85282 Ph: (480) 699-7248

Reviews and Comments

Pediatrics Doctors in Tempe, AZ

Dr. Thomas A. Eccles, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 451 E University Dr, Tempe, AZ 85281 Phone: 480-965-3349
Dr. Delphis C Richardson, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 6301 S Mcclintock Dr, #101, Tempe, AZ 85283 Phone: 480-214-2300 Fax: 480-214-2301
Jake B Barnard, Pediatrics Medicare: Medicare Enrolled Practice Location: 1840 E Broadway Rd, Tempe, AZ 85282 Phone: 602-243-7277 Fax: 480-927-1092
Dr. Albert M Schwartz, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 6301 S Mcclintock Dr Ste 101, Tempe, AZ 85283 Phone: 480-214-2300 Fax: 480-214-2301
Coleen K Marias, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 433 W. Broadway Road, Tempe, AZ 85281 Phone: 480-731-7000 Fax: 480-731-7040
Pamela F Tom, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 451 E University Dr, Tempe, AZ 85281 Phone: 480-965-3346 Fax: 480-965-8914

Nicolas Antonio Gonzalez, MD - Medicare Pediatrics in Tempe, AZ