Mark Hidalgo Gabot, CRNA in Fontana, CA - Medicare Nurse Anesthetist, Certified Registered

Mark Hidalgo Gabot, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Fontana, California. His current practice location is 9161 Sierra Ave, Fontana, California. You can reach out to his office (for appointments etc.) via phone at (909) 427-7162.

Mark Hidalgo Gabot is licensed to practice in California (license number 3544) 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 1174704324.

Contact Information

	Mark Hidalgo Gabot, CRNA
	9161 Sierra Ave, Fontana, CA 92335-4729
	(909) 427-7162
	Not Available

Map and Direction

Provider's Profile

Full Name	Mark Hidalgo Gabot
Gender	Male
Speciality	Nurse Anesthetist, Certified Registered
Location	9161 Sierra Ave, Fontana, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1174704324
Provider Enumeration Date: 11/15/2007
Last Update Date: 12/01/2021

Medicare PECOS Information:

PECOS PAC ID: 6709965155
Enrollment ID: I20080509000371

Medical Identifiers

Medical identifiers for Mark Hidalgo Gabot such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1174704324	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	3544 (California)	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. Mark Hidalgo Gabot allows following entities to bill medicare on his behalf.

Entity Name	Southern California Permanente Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1316979834 PECOS PAC ID: 6002729175 Enrollment ID: O20040126000823

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. Mark Hidalgo Gabot 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
Mark Hidalgo Gabot, CRNA 9161 Sierra Ave, Fontana, CA 92335-4729 Ph: (909) 427-7162	Mark Hidalgo Gabot, CRNA 9161 Sierra Ave, Fontana, CA 92335-4729 Ph: (909) 427-7162

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Fontana, CA

Kadette Kelly, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 9961 Sierra Ave, Fontana, CA 92335 Phone: 909-427-3910
Kenneth B Lake, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 9961 Sierra Ave, Fontana, CA 92335 Phone: 909-427-3910
Ronald D Stephens, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 9961 Sierra Ave, Fontana, CA 92335 Phone: 909-427-3910
Alyssa Miller, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 9961 Sierra Ave, Fontana, CA 92335 Phone: 000-000-0000
Brendan Williams, DNP, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 15218 Summit Ave Ste 300-130, Fontana, CA 92336 Phone: 909-255-2661
Hisham Maassarani, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 9961 Sierra Ave, Fontana, CA 92335 Phone: 909-302-4886
Edith M Marca-solomon, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 9961 Sierra Ave, Fontana, CA 92335 Phone: 909-427-3910

Mark Hidalgo Gabot, CRNA - Medicare Nurse Anesthetist, Certified Registered in Fontana, CA