Dr Ricardo R Gonzales, PHD in Glorieta, NM - Medicare Clinical Psychologist Provider

Dr Ricardo R Gonzales, PHD is a medicare enrolled "Psychologist - Clinical" provider in Glorieta, New Mexico. He graduated from healthcare school in 1982 and has 42 years of diverse experience with area of expertise as Clinical Psychologist. He is a member of the group practice Las Clinicas Del Norte, Incorporated and his current practice location is 168 Ave. De San Marcos, Glorieta, New Mexico. You can reach out to his office (for appointments etc.) via phone at (505) 757-2216.

Dr Ricardo R Gonzales is licensed to practice in New Mexico (license number 414) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1932185840.

Contact Information

	Dr Ricardo R Gonzales, PHD
	168 Ave. De San Marcos, Glorieta, NM 87535
	(505) 757-2216
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Ricardo R Gonzales
Gender	Male
Speciality	Clinical Psychologist
Experience	42 Years
Location	168 Ave. De San Marcos, Glorieta, New Mexico
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Ricardo R Gonzales graduated from medical school in 1982

NPI Data:

NPI Number: 1932185840
Provider Enumeration Date: 12/22/2005
Last Update Date: 01/14/2014

Medicare PECOS Information:

PECOS PAC ID: 1355591017
Enrollment ID: I20190731003192

Medical Identifiers

Medical identifiers for Dr Ricardo R Gonzales such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1932185840	NPI	-	NPPES
N1903	Medicaid	NM
N6708/N1903	Medicaid	NM
N6708	Medicaid	NM

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YA0400X	Counselor - Addiction (substance Use Disorder)	3779 (New Mexico)	Secondary
103TC0700X	Psychologist - Clinical	414 (New Mexico)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Las Clinicas Del Norte, Incorporated	1456252428	12

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. Dr Ricardo R Gonzales allows following entities to bill medicare on his behalf.

Entity Name	Las Clinicas Del Norte, Incorporated
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1053314831 PECOS PAC ID: 1456252428 Enrollment ID: O20040114000457

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. Dr Ricardo R 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
Dr Ricardo R Gonzales, PHD P.o Box 375, Glorieta, NM 87535 Ph: (505) 757-2216	Dr Ricardo R Gonzales, PHD 168 Ave. De San Marcos, Glorieta, NM 87535 Ph: (505) 757-2216

Dr Ricardo R Gonzales, PHD - Medicare Counselor in Glorieta, NM