Edica Gonzalez, is a medicare enrolled "Social Worker - Clinical" provider in Virginia Beach, Virginia. Her current practice location is
828 Healthy Way Ste 105, Virginia Beach, Virginia. You can reach out to her office (for appointments etc.) via phone at
(757) 965-8686.
Edica Gonzalez is licensed to practice in Virginia (license number 0904014814) 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 1740854371.
Healthcare Provider's Profile
| Full Name | Edica Gonzalez |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 828 Healthy Way Ste 105, Virginia Beach, Virginia |
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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: 1740854371
- Provider Enumeration Date: 05/18/2021
- Last Update Date: 08/16/2023
Medicare PECOS Information:
- PECOS PAC ID: 4880054972
- Enrollment ID: I20230720004093
Medical Identifiers
Medical identifiers for Edica Gonzalez such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1740854371 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | 0904014814 (Virginia) | 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. Edica Gonzalez allows following entities to bill medicare on her behalf.
| Entity Name | Child & Family Services Of Eastern Virginia, Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1629158159
PECOS PAC ID: 7618009333
Enrollment ID: O20100715000882 |
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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. Edica 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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Edica Gonzalez,
941 Duck Pond Dr Apt 107,
Virginia Beach, VA 23464-3318
Ph: (760) 917-5671 | Edica Gonzalez,
828 Healthy Way Ste 105,
Virginia Beach, VA 23462-7958
Ph: (757) 965-8686 |
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