Dr Gabriel T Gizaw, MD - Medicare Preventive Medicine in Jacksonville, FL

Dr Gabriel T Gizaw, MD is a medicare enrolled "Preventive Medicine - Aerospace Medicine" physician in Jacksonville, Florida. His current practice location is 2005 Knight Lane Bldg H, Navy Medicine Support Command Attn: Mssd, Jacksonville, Florida. You can reach out to his office (for appointments etc.) via phone at (401) 595-1036.

Dr Gabriel T Gizaw is licensed to practice in Wisconsin (license number 55676-020) 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 1023245016.

Contact Information

Dr Gabriel T Gizaw, MD
2005 Knight Lane Bldg H, Navy Medicine Support Command Attn: Mssd,
Jacksonville, FL 32212-0140
(401) 595-1036
Not Available



Physician's Profile

Full NameDr Gabriel T Gizaw
GenderMale
SpecialityPreventive Medicine - Aerospace Medicine
Location2005 Knight Lane Bldg H, Jacksonville, Florida
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1023245016
  • Provider Enumeration Date: 06/17/2009
  • Last Update Date: 07/22/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 8628215514
  • Enrollment ID: I20130514000106

Medical Identifiers

Medical identifiers for Dr Gabriel T Gizaw such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1023245016NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2083A0100XPreventive Medicine - Aerospace Medicine 55676-020 (Wisconsin)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. Dr Gabriel T Gizaw 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 AddressPractice Location Address
Dr Gabriel T Gizaw, MD
2005 Knight Lane Bldg H, Navy Medicine Support Command Attn: Mssd,
Jacksonville, FL 32212-0140

Ph: () -
Dr Gabriel T Gizaw, MD
2005 Knight Lane Bldg H, Navy Medicine Support Command Attn: Mssd,
Jacksonville, FL 32212-0140

Ph: (401) 595-1036

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