Yesenia Gonzalez, PA-C is a
Physician Assistant based in Fulton, Mississippi. Yesenia Gonzalez is licensed to practice in Mississippi (license number PA00788) and her current practice location is
407 Interchange Dr, Fulton, Mississippi. She can be reached at her office (for appointments etc.) via phone at
(662) 269-8000.
NPI number for Yesenia Gonzalez is 1982461794 and her current mailing address is 874 Barnes Crossing Road, Tupelo, Mississippi. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1982461794.
Provider's Profile
Full Name | Yesenia Gonzalez |
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Gender | Female |
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Speciality | Physician Assistant |
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Location | 407 Interchange Dr, Fulton, Mississippi |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1982461794
- Provider Enumeration Date: 02/28/2024
- Last Update Date: 04/05/2024
Medical Identifiers
Medical identifiers for Yesenia Gonzalez such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1982461794 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363A00000X | Physician Assistant | PA00788 (Mississippi) | Primary |
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. Yesenia Gonzalez is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Yesenia Gonzalez, PA-C 874 Barnes Crossing Road, Tupelo, MS 38804-0909 Ph: (662) 841-0002 | Yesenia Gonzalez, PA-C 407 Interchange Dr, Fulton, MS 38843-6029 Ph: (662) 269-8000 |
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