Fawn Gonzales, LCSW LLC in Newport Beach, CA - Medicare Social Worker Provider

Fawn Gonzales, LCSW LLC is a medicare enrolled "Social Worker - Clinical" provider in Newport Beach, California. Her current practice location is 2436 W Coast Hwy Ste 103, Newport Beach, California. You can reach out to her office (for appointments etc.) via phone at (541) 944-7711.

Fawn Gonzales is licensed to practice in California (license number ) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1295923787.

Contact Information

	Fawn Gonzales, LCSW LLC
	2436 W Coast Hwy Ste 103, Newport Beach, CA 92663-4771
	(541) 944-7711
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Fawn Gonzales
Gender	Female
Speciality	Social Worker - Clinical
Location	2436 W Coast Hwy Ste 103, Newport Beach, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1295923787
Provider Enumeration Date: 10/09/2007
Last Update Date: 12/04/2015

Medicare PECOS Information:

PECOS PAC ID: 4183926512
Enrollment ID: I20151231001392

Medical Identifiers

Medical identifiers for Fawn Gonzales such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1295923787	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	L5212 (Oregon)	Secondary
1041C0700X	Social Worker - Clinical	(California)	Primary

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. Fawn Gonzales allows following entities to bill medicare on her behalf.

Entity Name	Fawn Gonzales, Lcsw Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1417322231 PECOS PAC ID: 3274835608 Enrollment ID: O20151231001127

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. Fawn Gonzales 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 Address	Practice Location Address
Fawn Gonzales, LCSW LLC 1820 W Balboa Blvd, Newport Beach, CA 92663-4515 Ph: () -	Fawn Gonzales, LCSW LLC 2436 W Coast Hwy Ste 103, Newport Beach, CA 92663-4771 Ph: (541) 944-7711

Reviews and Comments

Social Worker in Newport Beach, CA

Karen A. Busch, L.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1151 Dove St Ste 285, Newport Beach, CA 92660 Phone: 949-752-8550 Fax: 949-640-6643
Renee Michelle Ward, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3400 Irvine Ave Ste 218, Newport Beach, CA 92660 Phone: 949-373-6499
Carly Elizabeth Stern, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 620 Newport Center Dr Ste 1450, Newport Beach, CA 92660 Phone: 714-588-0911
Ms. Lindsey Beth Krogh, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2043 Westcliff Dr., Suite 200, Newport Beach, CA 92660 Phone: 657-642-5442
Andrea Navarro Owen, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1000 Quail St Ste 120, Newport Beach, CA 92660 Phone: 714-797-5127
Emily Mayot, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1400 Quail St Ste 180, Newport Beach, CA 92660 Phone: 949-561-2438
Ms. Laraine Alison Tanzer, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 408 Westminster Avenue, #10, Newport Beach, CA 92663 Phone: 949-903-1823 Fax: 949-720-9808

Fawn Gonzales, LCSW LLC - Medicare Clinical Social Worker in Newport Beach, CA