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GRACIELA VERDECIA GONZALEZ MD
NPI 1336815976
General Practice in Hialeah, FL

Active since August 23, 2021PECOS EnrolledAccepts Medicare Assignment
5378 W 16TH AVE, HIALEAH, FL 33012(305) 820-4101(305) 820-2885 Get Directions Write a Review

NPPES record last updated: August 8, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Aug 8, 2024, Sep 4, 2022, Aug 23, 2021 (3 updates tracked since 2021).

About Graciela Verdecia Gonzalez Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GRACIELA VERDECIA GONZALEZ MD (NPI 1336815976) is an individual general practice provider in Hialeah, Florida, licensed in Florida (ACN1456) and active in the NPI registry since August 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2003).

NPPES Registry Identity

NPI1336815976
Entity TypeIndividualFemale
Primary Taxonomy208D00000X
Provider Legal NameGRACIELA VERDECIA GONZALEZCredential: MD
Location Address5378 W 16TH AVEHialeah, FL 33012-2165
Mailing Address8261 Nw 8th St Apt 429Miami, FL 33126-3965 · (786) 286-3358
Phone(305) 820-4101
Fax(305) 820-2885
Sole ProprietorYes
Medical School CMSOtherGraduated 2003
Enumeration DateAugust 23, 2021
Last NPPES UpdateAugust 8, 20243 updates tracked since enumeration
NPPES CertifiedAugust 8, 2024
✔ NPI 1336815976 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in FL · ACN1456
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
5378 W 16TH AVE, Hialeah, FL 33012
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed, Molina Healthcare, Oscar Health Maintenance Organization of Florida and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Graciela Verdecia Gonzalez Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1951785369
PECOS Enrollment IDI20220902002577
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
36 services24 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
11 services11 patients

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

VANDELY PEREZ MD
General Practice
5378 W 16TH AVE
HIALEAH, FL 33012
Miami-Dade County (305) 820-4101
ARIEL J PEREZ ARNP
Nurse Practitioner (Family)
5378 W 16TH AVE
HIALEAH, FL 33012
Miami-Dade County (305) 820-4101
ALIXIER GONZALEZ RIVERA MD
Pediatrics
5378 W 16TH AVE
HIALEAH, FL 33012
Miami-Dade County (305) 820-4101

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Graciela Verdecia Gonzalez's NPI number?

The NPI number for Graciela Verdecia Gonzalez is 1336815976. It was assigned to this individual provider in the NPPES registry on August 23, 2021.

Where is Graciela Verdecia Gonzalez located?

Graciela Verdecia Gonzalez practices at 5378 W 16th Ave, Hialeah, FL 33012. The listed phone number is (305) 820-4101.

What is Graciela Verdecia Gonzalez's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Graciela Verdecia Gonzalez enrolled in Medicare?

Yes. Graciela Verdecia Gonzalez is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Graciela Verdecia Gonzalez accept?

Health plans from AvMed, Molina Healthcare, Oscar Health Maintenance Organization of Florida and UnitedHealthcare list Graciela Verdecia Gonzalez as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Graciela Verdecia Gonzalez was last updated on August 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.