Yesenia Gonzalez, PA-C - Physician Assistant in Fulton, MS

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.

Contact Information

Yesenia Gonzalez, PA-C
407 Interchange Dr,
Fulton, MS 38843-6029
(662) 269-8000
Not Available



Provider's Profile

Full NameYesenia Gonzalez
GenderFemale
SpecialityPhysician Assistant
Location407 Interchange Dr, Fulton, Mississippi
Accepts Medicare AssignmentsDoes 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.
IdentifierTypeStateIssuer
1982461794NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician 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 AddressPractice 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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