Mr Clifford Fontanilla Gonzales, CRNA in Winston Salem, NC - Medicare Certified Registered Nurse Anesthetist (crna)

Mr Clifford Fontanilla Gonzales, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Winston Salem, North Carolina. He graduated from nursing school in 2006 and has 19 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Medical Park Hospital Llc, Gate City Anesthesia, Inc, Forsyth Memorial Hospital Inc and his current practice location is Medical Center Blvd, Winston Salem, North Carolina. You can reach out to his office (for appointments etc.) via phone at (336) 716-3069.

Mr Clifford Fontanilla Gonzales is licensed to practice in North Carolina (license number 2163) 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 1558458042.

Contact Information

	Mr Clifford Fontanilla Gonzales, CRNA
	Medical Center Blvd, Winston Salem, NC 27157-0001
	(336) 716-3069
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Clifford Fontanilla Gonzales
Gender	Male
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	19 Years
Location	Medical Center Blvd, Winston Salem, North Carolina
Accepts Medicare Assignments	Yes. 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 Clifford Fontanilla Gonzales graduated from nursing school in 2006

NPI Data:

NPI Number: 1558458042
Provider Enumeration Date: 10/06/2006
Last Update Date: 06/19/2025

Medicare PECOS Information:

PECOS PAC ID: 9739189861
Enrollment ID: I20070112000457

Medical Identifiers

Medical identifiers for Mr Clifford Fontanilla Gonzales such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1558458042	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	136101 (North Carolina)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	2163 (North Carolina)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Novant Health Forsyth Medical Center	Winston-salem, NC	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Medical Park Hospital Llc	4880595958	71
Gate City Anesthesia, Inc	8820089329	14
Forsyth Memorial Hospital Inc	9537071790	549

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 Clifford Fontanilla Gonzales allows following entities to bill medicare on his behalf.

Entity Name	Gate City Anesthesia, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1225135361 PECOS PAC ID: 8820089329 Enrollment ID: O20040522000317

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 Clifford Fontanilla Gonzales 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
Mr Clifford Fontanilla Gonzales, CRNA Medical Center Blvd, Winston Salem, NC 27157-0001 Ph: (336) 716-3069	Mr Clifford Fontanilla Gonzales, CRNA Medical Center Blvd, Winston Salem, NC 27157-0001 Ph: (336) 716-3069

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Winston Salem, NC

Nicholas Ryan Tuttle, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: Medical Center Blvd, Winston Salem, NC 27157 Phone: 336-409-1797
Yetta Hardy Clark, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 145 Kimel Park Dr, Suite 300, Winston Salem, NC 27103 Phone: 336-768-3212 Fax: 336-768-9019
Carie Sue Nunley, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 145 Kimel Park Dr, Suite 120, Winston Salem, NC 27103 Phone: 336-768-3212 Fax: 336-768-9019
Connie Sue Freeman, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 145 Kimel Park Dr Ste 120, Winston Salem, NC 27103 Phone: 336-768-3212 Fax: 336-768-9019
Charlie Martin Robertson Iii, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: Medical Center Blvd, Winston Salem, NC 27157 Phone: 336-716-2011
Holly C Pegram, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 145 Kimel Park Dr, Suite 120, Winston Salem, NC 27103 Phone: 336-768-3212 Fax: 336-768-9019
Jessica Savidge Rose, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 145 Kimel Park Dr Ste 120, Winston Salem, NC 27103 Phone: 336-768-3212 Fax: 336-768-9019

Mr Clifford Fontanilla Gonzales, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Winston Salem, NC