Edward Gonzalez, LCSW & LDAC is a medicare enrolled "Social Worker - Clinical" provider in Manchester, Connecticut. His current practice location is
627 Main St, Manchester, Connecticut. You can reach out to his office (for appointments etc.) via phone at
(860) 324-0042.
Edward Gonzalez is licensed to practice in Connecticut (license number 010279) 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 1346654399.
Healthcare Provider's Profile
Full Name | Edward Gonzalez |
---|
Gender | Male |
---|
Speciality | Social Worker - Clinical |
---|
Location | 627 Main St, Manchester, Connecticut |
---|
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1346654399
- Provider Enumeration Date: 06/18/2014
- Last Update Date: 05/12/2022
Medicare PECOS Information:
- PECOS PAC ID: 6901214790
- Enrollment ID: I20210415001377
Medical Identifiers
Medical identifiers for Edward Gonzalez such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1346654399 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | 1090 (Connecticut) | Secondary |
1041C0700X | Social Worker - Clinical | 010279 (Connecticut) | 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. Edward Gonzalez allows following entities to bill medicare on his behalf.
Entity Name | State Of Connecticut |
---|
Entity Type | Part B Supplier - Clinic/group Practice |
---|
Entity Identifiers | NPI Number: 1487689022 PECOS PAC ID: 8022915677 Enrollment ID: O20040319000169 |
---|
Entity Name | Simple Talks Counseling Llc |
---|
Entity Type | Part B Supplier - Clinic/group Practice |
---|
Entity Identifiers | NPI Number: 1770231409 PECOS PAC ID: 6709273733 Enrollment ID: O20220421002229 |
---|
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. Edward 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 |
Edward Gonzalez, LCSW & LDAC 1329 Burnside Ave Apt B3, East Hartford, CT 06108-1575 Ph: (516) 652-2100 | Edward Gonzalez, LCSW & LDAC 627 Main St, Manchester, CT 06040-5181 Ph: (860) 324-0042 |
Reviews and Comments