Daniel Gonzales, LCSW is a medicare enrolled "Social Worker" provider in Albuquerque, New Mexico. His current practice location is
1420 Carlisle Blvd Ne Ste 103, Albuquerque, New Mexico. You can reach out to his office (for appointments etc.) via phone at
(505) 720-3548.
Daniel Gonzales is licensed to practice in New Mexico (license number C-11895) 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 1285264903.
Healthcare Provider's Profile
Full Name | Daniel Gonzales |
---|
Gender | Male |
---|
Speciality | Social Worker |
---|
Location | 1420 Carlisle Blvd Ne Ste 103, Albuquerque, New Mexico |
---|
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1285264903
- Provider Enumeration Date: 01/22/2020
- Last Update Date: 07/18/2022
Medicare PECOS Information:
- PECOS PAC ID: 9032572524
- Enrollment ID: I20230831000767
Medical Identifiers
Medical identifiers for Daniel Gonzales such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1285264903 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
104100000X | Social Worker | (New Mexico) | Secondary |
104100000X | Social Worker | (* (Not Available)) | Secondary |
104100000X | Social Worker | C-11895 (New Mexico) | 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. Daniel Gonzales allows following entities to bill medicare on his behalf.
Entity Name | Healing Roots Therapy Llc |
---|
Entity Type | Part B Supplier - Clinic/group Practice |
---|
Entity Identifiers | NPI Number: 1285303859 PECOS PAC ID: 8123481611 Enrollment ID: O20230831000690 |
---|
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. Daniel Gonzales 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 |
Daniel Gonzales, LCSW 3932 La Sombra Rd Sw, Albuquerque, NM 87105-6135 Ph: (505) 720-3548 | Daniel Gonzales, LCSW 1420 Carlisle Blvd Ne Ste 103, Albuquerque, NM 87110-5661 Ph: (505) 720-3548 |
Reviews and Comments