Monique L Gore, LCSW - Medicare Clinical Social Worker in Green Bay, WI

Monique L Gore, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Green Bay, Wisconsin. Her current practice location is 3158 Eaton Rd, Green Bay, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (920) 770-3319.

Monique L Gore is licensed to practice in Wisconsin (license number 7158-123) 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 1568452803.

Contact Information

Monique L Gore, LCSW
3158 Eaton Rd,
Green Bay, WI 54311-6827
(920) 770-3319
(920) 600-0271

Map and Direction




Healthcare Provider's Profile

Full NameMonique L Gore
GenderFemale
SpecialitySocial Worker - Clinical
Location3158 Eaton Rd, Green Bay, Wisconsin
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1568452803
  • Provider Enumeration Date: 10/27/2005
  • Last Update Date: 11/11/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 1355353301
  • Enrollment ID: I20060613000059

Medical Identifiers

Medical identifiers for Monique L Gore such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1568452803NPI-NPPES
43562500MedicaidWI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical 7158-123 (Wisconsin)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. Monique L Gore allows following entities to bill medicare on her behalf.
Entity NameOneida Nation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1740278308
PECOS PAC ID: 6800794074
Enrollment ID: O20031224000077
Entity NamePhoenix Behavioral Health Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1871514778
PECOS PAC ID: 1456441153
Enrollment ID: O20071219000121
Entity NameSolution Focused Counseling Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1104698760
PECOS PAC ID: 6406207380
Enrollment ID: O20240104001965

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. Monique L Gore 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 AddressPractice Location Address
Monique L Gore, LCSW
3158 Eaton Rd,
Green Bay, WI 54311-6827

Ph: (920) 819-3970
Monique L Gore, LCSW
3158 Eaton Rd,
Green Bay, WI 54311-6827

Ph: (920) 770-3319

Reviews and Comments


Social Worker in Green Bay, WI

Holly Sage, MSW, APSW
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Jayne E Von Der Linden, MSW
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Practice Location: 760 Pilgrim Way, Green Bay, WI 54304
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Rebecca Marie Barrett, MSW APSW
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Shannon M Anderson,
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Practice Location: 1499 6th St, Green Bay, WI 54304
Phone: 920-497-6161    Fax: 888-974-5769
Lorelle Berglund,
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Medicare: Not Enrolled in Medicare
Practice Location: 1499 6th St, Green Bay, WI 54304
Phone: 920-497-6161    Fax: 888-974-5769

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.