Jose Gutierrez Jr, in Hanscom Afb, MA - Medicare Nurse Practitioner

Jose Gutierrez Jr, is a medicare enrolled "Nurse Practitioner - Family" in Hanscom Afb, Massachusetts. His current practice location is 59 Grenier St, Building 1507, Hanscom Afb, Massachusetts. You can reach out to his office (for appointments etc.) via phone at (339) 202-6423.

Jose Gutierrez Jr is licensed to practice in Connecticut (license number 6716) 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 1962950378.

Contact Information

	Jose Gutierrez Jr,
	59 Grenier St, Building 1507, Hanscom Afb, MA 01731
	(339) 202-6423
	Not Available

Map and Direction

Provider's Profile

Full Name	Jose Gutierrez Jr
Gender	Male
Speciality	Nurse Practitioner - Family
Location	59 Grenier St, Hanscom Afb, Massachusetts
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1962950378
Provider Enumeration Date: 09/14/2016
Last Update Date: 09/14/2016

Medicare PECOS Information:

PECOS PAC ID: 3870869977
Enrollment ID: I20171017002629

Medical Identifiers

Medical identifiers for Jose Gutierrez Jr such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1962950378	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	6716 (Connecticut)	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. Jose Gutierrez Jr allows following entities to bill medicare on his behalf.

Entity Name	Cornell Scott Hill Health Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1902921380 PECOS PAC ID: 3072418359 Enrollment ID: O20031201000145

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. Jose Gutierrez Jr 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
Jose Gutierrez Jr, 360 State St, Apt 2618, New Haven, CT 06510-3601 Ph: (309) 335-4242	Jose Gutierrez Jr, 59 Grenier St, Building 1507, Hanscom Afb, MA 01731 Ph: (339) 202-6423

Reviews and Comments

Nurse Practitioner Nurses in Hanscom Afb, MA

Jemma Ayvazian, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 13 Patterson Rd, Hanscom Afb, MA 01731 Phone: 781-862-1810
Daniel Tesch, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 90 Vandenberg Dr Bldg 1900, Hanscom Afb, MA 01731 Phone: 781-225-6789
Jennifer Dawn Bankston, WHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 90 Vandenberg Dr, Hanscom Afb, MA 01731 Phone: 781-225-6171 Fax: 781-225-2576
Mrs. Lucille Paulette Taylor, NURSE PRACTITIONER Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 90 Vandenberg Dr, 66th Medical Group / Sgof, Hanscom Afb, MA 01731 Phone: 781-377-8063

Jose Gutierrez Jr, - Medicare Nurse Practitioner in Hanscom Afb, MA