Mary Gonzalez, LICSW in Saint Paul, MN - Medicare Clinical Social Worker Provider

Mary Gonzalez, LICSW is a medicare enrolled "Social Worker - Clinical" provider in Saint Paul, Minnesota. She graduated from medical school in 2013 and has 11 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Emily Program Pc and her current practice location is 2265 Como Ave, Saint Paul, Minnesota. You can reach out to her office (for appointments etc.) via phone at (651) 645-5323.

Mary Gonzalez is licensed to practice in Minnesota (license number 23259) 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 1366940512.

Contact Information

	Mary Gonzalez, LICSW
	2265 Como Ave, Saint Paul, MN 55108-1737
	(651) 645-5323
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mary Gonzalez
Gender	Female
Speciality	Clinical Social Worker
Experience	11 Years
Location	2265 Como Ave, Saint Paul, Minnesota
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mary Gonzalez graduated from medical school in 2013

NPI Data:

NPI Number: 1366940512
Provider Enumeration Date: 01/23/2018
Last Update Date: 01/30/2018

Medicare PECOS Information:

PECOS PAC ID: 0648531608
Enrollment ID: I20180308000362

Medical Identifiers

Medical identifiers for Mary Gonzalez such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1366940512	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	23259 (Minnesota)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Emily Program Pc	5193623254	40

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. Mary Gonzalez allows following entities to bill medicare on her behalf.

Entity Name	Emily Program Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1528165065 PECOS PAC ID: 5193623254 Enrollment ID: O20031229000014

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. Mary 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
Mary Gonzalez, LICSW 3617 10th Ave S, Minneapolis, MN 55407-3972 Ph: (651) 353-3921	Mary Gonzalez, LICSW 2265 Como Ave, Saint Paul, MN 55108-1737 Ph: (651) 645-5323

Reviews and Comments

Social Worker in Saint Paul, MN

Mr. Michael Joseph O'neill, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1919 University Ave W, Saint Paul, MN 55104 Phone: 651-266-7900 Fax: 651-266-7850
Ms. Sharon Kay Geiger, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1919 University Ave W, Saint Paul, MN 55104 Phone: 651-266-7978
Mrs. Karen Anne Stevensen, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2469 University Ave W, Saint Paul, MN 55114 Phone: 612-720-5083
Kathleen Lombardi, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1919 University Ave W Ste 200, Saint Paul, MN 55104 Phone: 651-266-7900
Ms. Sherie Lou Bosak, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 821 Raymond Ave, #300, Saint Paul, MN 55114 Phone: 651-645-0438 Fax: 651-647-0659
Helen Jane Gammon, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 640 Jackson St, Saint Paul, MN 55101 Phone: 651-254-2766
Ken Wilfred Schmitz, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2469 University Ave W, Saint Paul, MN 55114 Phone: 651-659-0294

Mary Gonzalez, LICSW - Medicare Clinical Social Worker in Saint Paul, MN