Keishla Huertas-gonzalez, LCSW in Middleburg, FL - Medicare Social Worker Provider

Keishla Huertas-gonzalez, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Middleburg, Florida. Her current practice location is 3292 County Road 220, Middleburg, Florida. You can reach out to her office (for appointments etc.) via phone at (904) 291-5561.

Keishla Huertas-gonzalez is licensed to practice in * (Not Available) (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 1023871506.

Contact Information

	Keishla Huertas-gonzalez, LCSW
	3292 County Road 220, Middleburg, FL 32068-4357
	(904) 291-5561
	(904) 291-5575

Map and Direction

Healthcare Provider's Profile

Full Name	Keishla Huertas-gonzalez
Gender	Female
Speciality	Social Worker - Clinical
Location	3292 County Road 220, Middleburg, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1023871506
Provider Enumeration Date: 02/06/2024
Last Update Date: 03/29/2024

Medicare PECOS Information:

PECOS PAC ID: 7012356413
Enrollment ID: I20240418000989

Medical Identifiers

Medical identifiers for Keishla Huertas-gonzalez such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1023871506	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	(* (Not Available))	Primary
101YM0800X	Counselor - Mental Health	SW22369 (Florida)	Secondary

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. Keishla Huertas-gonzalez allows following entities to bill medicare on her behalf.

Entity Name	Dna Comprehensive Therapy Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1316363757 PECOS PAC ID: 2860619632 Enrollment ID: O20140819001276

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. Keishla Huertas-gonzalez 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
Keishla Huertas-gonzalez, LCSW 4212 Great Falls Loop, Middleburg, FL 32068-3884 Ph: (904) 710-6019	Keishla Huertas-gonzalez, LCSW 3292 County Road 220, Middleburg, FL 32068-4357 Ph: (904) 291-5561

Reviews and Comments

Social Worker in Middleburg, FL

Stephanie Burkes, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3292 County Road 220, Middleburg, FL 32068 Phone: 904-291-5561 Fax: 904-291-5575
Avneesh Singh Arora, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 400 College Dr Ste 200, Middleburg, FL 32068 Phone: 904-213-2700
Mr. Amin Ella Faiz, MSW, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 400 College Dr Ste 200, Middleburg, FL 32068 Phone: 904-213-2700
Concetta A. Hillman, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 3292 County Road 220, Middleburg, FL 32068 Phone: 904-291-5561 Fax: 904-291-5575
Antovise Arnice Connor, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3812 Great Falls Loop, Middleburg, FL 32068 Phone: 904-910-7379
Lisa Robyn Stiller, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 3292 County Road 220, Middleburg, FL 32068 Phone: 904-291-5561 Fax: 904-291-5572

Keishla Huertas-gonzalez, LCSW - Medicare Clinical Social Worker in Middleburg, FL