Dolores J Gonzalez, is a medicare enrolled "Social Worker - Clinical" provider in Pasadena, California. Her current practice location is
1191 E Walnut St, Pasadena, California. You can reach out to her office (for appointments etc.) via phone at
(424) 388-1038.
Dolores J Gonzalez is licensed to practice in California (license number ASW60696) 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 1033410444.
Healthcare Provider's Profile
| Full Name | Dolores J Gonzalez |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 1191 E Walnut St, Pasadena, California |
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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: 1033410444
- Provider Enumeration Date: 11/16/2010
- Last Update Date: 05/03/2020
Medicare PECOS Information:
- PECOS PAC ID: 6103257878
- Enrollment ID: I20200513000343
Medical Identifiers
Medical identifiers for Dolores J Gonzalez such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1033410444 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 225400000X | Rehabilitation Practitioner | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | ASW60696 (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. Dolores J Gonzalez allows following entities to bill medicare on her behalf.
| Entity Name | Serene Health |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1649809526
PECOS PAC ID: 0244652139
Enrollment ID: O20200623001361 |
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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. Dolores J 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 |
|---|
Dolores J Gonzalez,
3747 Foothill Blvd # B517,
Glendale, CA 91214-1700
Ph: (424) 388-1038 | Dolores J Gonzalez,
1191 E Walnut St,
Pasadena, CA 91106-1868
Ph: (424) 388-1038 |
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