Mr Luis O Rivera-gonzalez, LCSW is a medicare enrolled "Counselor - Mental Health" provider in Lakeland, Florida. His current practice location is
3030 Harden Blvd, Lakeland, Florida. You can reach out to his office (for appointments etc.) via phone at
(863) 687-1222.
Mr Luis O Rivera-gonzalez is licensed to practice in Florida (license number SW12254) 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 1447375308.
Healthcare Provider's Profile
| Full Name | Mr Luis O Rivera-gonzalez |
|---|
| Gender | Male |
|---|
| Speciality | Counselor - Mental Health |
|---|
| Location | 3030 Harden Blvd, Lakeland, Florida |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1447375308
- Provider Enumeration Date: 03/20/2007
- Last Update Date: 07/18/2023
Medicare PECOS Information:
- PECOS PAC ID: 9931509817
- Enrollment ID: I20210615000438
Medical Identifiers
Medical identifiers for Mr Luis O Rivera-gonzalez such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1447375308 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1041C0700X | Social Worker - Clinical | SW12254 (Florida) | Secondary |
| 101YM0800X | Counselor - Mental Health | SW12254 (Florida) | 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. Mr Luis O Rivera-gonzalez allows following entities to bill medicare on his behalf.
| Entity Name | Lakeland Regional Health Systems Inc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1497748743
PECOS PAC ID: 8325952914
Enrollment ID: O20031118000384 |
|---|
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. Mr Luis O Rivera-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 |
|---|
Mr Luis O Rivera-gonzalez, LCSW
1324 Lakeland Hills Blvd,
Lakeland, FL 33805-4543
Ph: (863) 687-1100 | Mr Luis O Rivera-gonzalez, LCSW
3030 Harden Blvd,
Lakeland, FL 33803-7952
Ph: (863) 687-1222 |
Reviews and Comments