Michelle Yvonne Gonzalez, LICSW in Pawtucket, RI - Medicare Social Worker Provider

Michelle Yvonne Gonzalez, LICSW is a medicare enrolled "Social Worker - Clinical" provider in Pawtucket, Rhode Island. Her current practice location is 111 Brewster St, Pawtucket, Rhode Island. You can reach out to her office (for appointments etc.) via phone at (401) 729-2304.

Michelle Yvonne Gonzalez is licensed to practice in Rhode Island (license number ISW03286) 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 1275196479.

Contact Information

	Michelle Yvonne Gonzalez, LICSW
	111 Brewster St, Pawtucket, RI 02860-4400
	(401) 729-2304
	(401) 729-2923

Map and Direction

Healthcare Provider's Profile

Full Name	Michelle Yvonne Gonzalez
Gender	Female
Speciality	Social Worker - Clinical
Location	111 Brewster St, Pawtucket, Rhode Island
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1275196479
Provider Enumeration Date: 04/15/2019
Last Update Date: 11/28/2022

Medicare PECOS Information:

PECOS PAC ID: 9739504937
Enrollment ID: I20200805001564

Medical Identifiers

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

Identifier	Type	State	Issuer
1275196479	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	224627 (Massachusetts)	Secondary
1041C0700X	Social Worker - Clinical	ISW03286 (Rhode Island)	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. Michelle Yvonne Gonzalez allows following entities to bill medicare on her behalf.

Entity Name	Gateway Healthcare Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1821078932 PECOS PAC ID: 7719874908 Enrollment ID: O20040302001066

Entity Name	Affinity Physicians Llc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1184944662 PECOS PAC ID: 0244413391 Enrollment ID: O20110326000053

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. Michelle Yvonne 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
Michelle Yvonne Gonzalez, LICSW 455 Toll Gate Rd, Warwick, RI 02886-2759 Ph: (401) 273-0641	Michelle Yvonne Gonzalez, LICSW 111 Brewster St, Pawtucket, RI 02860-4400 Ph: (401) 729-2304

Reviews and Comments

Social Worker in Pawtucket, RI

Rebecca Jean-mee Savi, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 242 Dexter St, Pawtucket, RI 02860 Phone: 508-369-8987
Mrs. Stacie Cummins-mclaughlin, L.I.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 100 Lafayette St, Suite 305, Pawtucket, RI 02860 Phone: 401-722-9091 Fax: 401-722-5451
Elizabeth Pinkham, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 203 Concord St, Suite 335, Pawtucket, RI 02860 Phone: 401-365-6855 Fax: 401-365-6860
Nathali Rosa, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 200 Main St Ste 210, Pawtucket, RI 02860 Phone: 401-728-1800
Christine Emond, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 101 Bacon St, Pawtucket, RI 02860 Phone: 401-722-3560 Fax: 401-724-3120
Christine Lucene Williams, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 101 Bacon St Pawtucket, Ri 02860, Ste 103., Pawtucket, RI 02860 Phone: 707-382-2291
Mr. David H. Yuells, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 84 Harris St, Pawtucket, RI 02861 Phone: 401-475-5075 Fax: 401-365-1044

Michelle Yvonne Gonzalez, LICSW - Medicare Clinical Social Worker in Pawtucket, RI