Mrs Coralis Naomi Gonzalez, MSW is a medicare enrolled "Social Worker - Clinical" provider in Rincon, Puerto Rico. Her current practice location is
28 Calle Munoz Rivera W, Rincon, Puerto Rico. You can reach out to her office (for appointments etc.) via phone at
(787) 823-5500.
Mrs Coralis Naomi Gonzalez is licensed to practice in Puerto Rico (license number 14986) 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 1174149843.
Healthcare Provider's Profile
| Full Name | Mrs Coralis Naomi Gonzalez |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 28 Calle Munoz Rivera W, Rincon, Puerto Rico |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1174149843
- Provider Enumeration Date: 06/18/2020
- Last Update Date: 06/18/2020
Medicare PECOS Information:
- PECOS PAC ID: 2062835291
- Enrollment ID: I20200707002411
Medical Identifiers
Medical identifiers for Mrs Coralis Naomi Gonzalez such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1174149843 | NPI | - | NPPES |
| 14986 | Medicaid | PR | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 1041C0700X | Social Worker - Clinical | 14986 (Puerto Rico) | 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. Mrs Coralis Naomi Gonzalez allows following entities to bill medicare on her behalf.
| Entity Name | Costa Salud Community Health Centers Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1912997768
PECOS PAC ID: 1951370022
Enrollment ID: O20040927000712 |
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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. Mrs Coralis Naomi 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 |
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Mrs Coralis Naomi Gonzalez, MSW
Po Box 1403,
Moca, PR 00676-1403
Ph: (787) 224-7144 | Mrs Coralis Naomi Gonzalez, MSW
28 Calle Munoz Rivera W,
Rincon, PR 00677-2127
Ph: (787) 823-5500 |
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