Yairaliz Rodriguez Gonzalez, - Medicare General Practice in Lake Wales, FL

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Yairaliz Rodriguez Gonzalez, is a medicare enrolled "General Practice" physician in Lake Wales, Florida. Her current practice location is 684 State Road 60 W, Lake Wales, Florida. You can reach out to her office (for appointments etc.) via phone at (863) 949-4868.

Yairaliz Rodriguez Gonzalez is licensed to practice in Florida (license number ACN1500) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1104321348.

Contact Information

Yairaliz Rodriguez Gonzalez,
684 State Road 60 W,
Lake Wales, FL 33853-4419
(863) 949-4868
Not Available

Map and Direction




Physician's Profile

Full NameYairaliz Rodriguez Gonzalez
GenderFemale
SpecialityGeneral Practice
Location684 State Road 60 W, Lake Wales, Florida
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1104321348
  • Provider Enumeration Date: 03/29/2018
  • Last Update Date: 02/12/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 7618370651
  • Enrollment ID: I20210728001112

Medical Identifiers

Medical identifiers for Yairaliz Rodriguez Gonzalez such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1104321348NPI-NPPES
14673OtherPRMMC
22144MedicaidPR

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208D00000XGeneral Practice 22144 (Puerto Rico)Secondary
208D00000XGeneral Practice ACN1500 (Florida)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. Yairaliz Rodriguez Gonzalez allows following entities to bill medicare on her behalf.
Entity NameCommunity Health Foundation Of Puerto Rico Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1881016020
PECOS PAC ID: 6002046786
Enrollment ID: O20140225000436

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. Yairaliz Rodriguez 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
Yairaliz Rodriguez Gonzalez,
684 State Road 60 W,
Lake Wales, FL 33853-4419

Ph: (863) 949-4868		Yairaliz Rodriguez Gonzalez,
684 State Road 60 W,
Lake Wales, FL 33853-4419

Ph: (863) 949-4868

Reviews and Comments


General Practice Doctors in Lake Wales, FL

Jean Fritzner Balan, M.D.
General Practice
Medicare: Medicare Enrolled
Practice Location: 305 W Central Ave, Lake Wales, FL 33853
Phone: 866-234-8534    
Dr. Catherine Roberts Duncan, DVM
General Practice
Medicare: Not Enrolled in Medicare
Practice Location: 953 Old Cutler Rd, Lake Wales, FL 33898
Phone: 904-655-5794    
Dr. Danice Blaise, MD,MBA
General Practice
Medicare: Accepting Medicare Assignments
Practice Location: 684 State Road 60 W, Lake Wales, FL 33853
Phone: 863-949-4868    Fax: 863-223-8549
Dr. Nydia Gricelle Deltoro Rivera, MD, WCC. DWC, CWS
General Practice
Medicare: Medicare Enrolled
Practice Location: 1120 Carlton Ave, Lake Wales, FL 33853
Phone: 863-270-4546    

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.