Elisa B Gordon Perez Mena, MD - Medicare General Practice in Davenport, FL

Elisa B Gordon Perez Mena, MD is a medicare enrolled "General Practice" physician in Davenport, Florida. She graduated from medical school in 1992 and has 32 years of diverse experience with area of expertise as General Practice. She is a member of the group practice Florida Medical Associates Llc and her current practice location is 101 Divine Dr Ste 1, Davenport, Florida. You can reach out to her office (for appointments etc.) via phone at (863) 256-3225.

Elisa B Gordon Perez Mena is licensed to practice in Florida (license number ACN1296) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1720680887.

Contact Information

Elisa B Gordon Perez Mena, MD
101 Divine Dr Ste 1,
Davenport, FL 33897-9571
(863) 256-3225
(844) 388-6186



Physician's Profile

Full NameElisa B Gordon Perez Mena
GenderFemale
SpecialityGeneral Practice
Experience32 Years
Location101 Divine Dr Ste 1, Davenport, Florida
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Elisa B Gordon Perez Mena graduated from medical school in 1992
  NPI Data:
  • NPI Number: 1720680887
  • Provider Enumeration Date: 11/13/2020
  • Last Update Date: 12/05/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 3678700879
  • Enrollment ID: I20201210000690

Medical Identifiers

Medical identifiers for Elisa B Gordon Perez Mena such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1720680887NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208D00000XGeneral Practice ACN1296 (Florida)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Florida Medical Associates Llc0648271155122

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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. Elisa B Gordon Perez Mena allows following entities to bill medicare on her behalf.
Entity NameFlorida Medical Associates Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1336153709
PECOS PAC ID: 0648271155
Enrollment ID: O20070126000169

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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. Elisa B Gordon Perez Mena 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
Elisa B Gordon Perez Mena, MD
601 S Harbour Island Blvd Ste 200,
Tampa, FL 33602-5925

Ph: (800) 480-5243
Elisa B Gordon Perez Mena, MD
101 Divine Dr Ste 1,
Davenport, FL 33897-9571

Ph: (863) 256-3225

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General Practice Doctors in Davenport, FL

Dr. Tamara Ivelisse Guzman Rodriguez, MD
General Practice
Medicare: Medicare Enrolled
Practice Location: 130 Ridge Center Dr, Davenport, FL 33837
Phone: 866-234-8534    
Teodoro Medina, M.D.
General Practice
Medicare: Accepting Medicare Assignments
Practice Location: 111 Webb Dr, Davenport, FL 33837
Phone: 863-421-9447    Fax: 863-421-1806
Dr. Ricardo R Sanchez Maceira, M.D.
General Practice
Medicare: Accepting Medicare Assignments
Practice Location: 111 Webb Dr, Davenport, FL 33837
Phone: 863-421-9447    Fax: 863-421-1806
Dr. Reyna Isabel Lajara, M.D.
General Practice
Medicare: Accepting Medicare Assignments
Practice Location: 127 Ridge Center Dr, Davenport, FL 33837
Phone: 863-421-7400    Fax: 863-421-7448
Ladapo Shyngle, M.D., MPH
General Practice
Medicare: Not Enrolled in Medicare
Practice Location: 121 Webb Dr, Suite 100, Davenport, FL 33837
Phone: 863-422-0001    Fax: 863-422-0003
Yamil Carlo Lopez,
General Practice
Medicare: Medicare Enrolled
Practice Location: 2330 North Blvd W, Davenport, FL 33837
Phone: 407-931-0444    Fax: 407-962-4446

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