Mr Modesto Gonzalez, ACSW in Glendale, CA - Medicare Social Worker Provider

Mr Modesto Gonzalez, ACSW is a medicare enrolled "Social Worker - Clinical" provider in Glendale, California. His current practice location is 1121 E Lomita Ave, Glendale, California. You can reach out to his office (for appointments etc.) via phone at (559) 560-6757.

Mr Modesto Gonzalez is licensed to practice in California (license number 80776) 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 1558072926.

Contact Information

	Mr Modesto Gonzalez, ACSW
	1121 E Lomita Ave, Glendale, CA 91205-1331
	(559) 560-6757
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Modesto Gonzalez
Gender	Male
Speciality	Social Worker - Clinical
Location	1121 E Lomita Ave, Glendale, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1558072926
Provider Enumeration Date: 12/07/2022
Last Update Date: 12/07/2022

Medicare PECOS Information:

PECOS PAC ID: 9931648250
Enrollment ID: I20240919001640

Medical Identifiers

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

Identifier	Type	State	Issuer
1558072926	NPI	-	NPPES
D7995159	Other	CA	CALIFORNIA ID

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	80776 (California)	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 Modesto Gonzalez allows following entities to bill medicare on his behalf.

Entity Name	Find Your Balance Therapy Center & Family Services A Professional Cor
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1801405014 PECOS PAC ID: 0941746556 Enrollment ID: O20240719000093

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 Modesto 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 Modesto Gonzalez, ACSW 15720 Ventura Blvd, Encino, CA 91436-2914 Ph: (818) 927-0478	Mr Modesto Gonzalez, ACSW 1121 E Lomita Ave, Glendale, CA 91205-1331 Ph: (559) 560-6757

Reviews and Comments

Social Worker in Glendale, CA

Natalie Anne Innocenzi, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1118 Newby St, Glendale, CA 91201 Phone: 626-818-0077
Mary Ann Dunham, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 444 W Glenoaks Blvd, Glendale, CA 91202 Phone: 818-552-3000
Francie Issenman, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 320 Arden Ave, Suite 240, Glendale, CA 91203 Phone: 818-759-3433
Stella Luna Petros, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 237 N Central Ave, C, Glendale, CA 91203 Phone: 818-547-9544
Elizabeth Pashanian, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 138 N Brand Blvd Ste 200, Glendale, CA 91203 Phone: 424-413-0949
Knar Kaakejian, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1137 N Central Ave, Glendale, CA 91202 Phone: 818-456-8674
Astghik Harootunian, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 141 S Cedar St, Glendale, CA 91205 Phone: 818-839-4010 Fax: 818-839-4011

Mr Modesto Gonzalez, ACSW - Medicare Clinical Social Worker in Glendale, CA