Elizabeth Nussbaum-gonzalez, LSW in Goshen, IN

Elizabeth Nussbaum-gonzalez, LSW is a medicare enrolled "Counselor" provider in Goshen, Indiana. Her current practice location is 330 Lakeview Dr, Goshen, Indiana. You can reach out to her office (for appointments etc.) via phone at (574) 533-1234.

Elizabeth Nussbaum-gonzalez is licensed to practice in * (Not Available) (license number ) 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 1932746989.

Contact Information

	Elizabeth Nussbaum-gonzalez, LSW
	330 Lakeview Dr, Goshen, IN 46528-7000
	(574) 533-1234
	(574) 537-2652

Map and Direction

Healthcare Provider's Profile

Full Name	Elizabeth Nussbaum-gonzalez
Gender	Female
Speciality	Counselor
Location	330 Lakeview Dr, Goshen, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1932746989
Provider Enumeration Date: 12/09/2019
Last Update Date: 12/09/2019

Medicare PECOS Information:

PECOS PAC ID: 9436519642
Enrollment ID: I20230720000255

Medical Identifiers

Medical identifiers for Elizabeth Nussbaum-gonzalez such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1932746989	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101Y00000X	Counselor	(* (Not Available))	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. Elizabeth Nussbaum-gonzalez allows following entities to bill medicare on her behalf.

Entity Name	Oaklawn Psychiatric Center Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1598847212 PECOS PAC ID: 6002801065 Enrollment ID: O20040419000647

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. Elizabeth Nussbaum-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
Elizabeth Nussbaum-gonzalez, LSW Po Box 809, Goshen, IN 46527-0809 Ph: (574) 533-1234	Elizabeth Nussbaum-gonzalez, LSW 330 Lakeview Dr, Goshen, IN 46528-7000 Ph: (574) 533-1234

Reviews and Comments

Counselor in Goshen, IN

Lavern D Raber, Counselor Medicare: Not Enrolled in Medicare Practice Location: 330 Lakeview Dr, Goshen, IN 46528 Phone: 574-533-1234 Fax: 574-537-2652
Mandy Moretti, MSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 330 Lakeview Dr, Goshen, IN 46528 Phone: 574-533-1234 Fax: 574-537-2652
Charlene Koenig, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 330 Lakeview Dr, Goshen, IN 46528 Phone: 574-533-1234 Fax: 574-537-2652
Travis Silveus, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 330 Lakeview Dr, Goshen, IN 46528 Phone: 574-533-1234 Fax: 574-537-2652
Erin Brown, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 330 Lakeview Dr, Goshen, IN 46528 Phone: 574-537-2680
Jill L Tartaglione, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 330 Lakeview Dr, Goshen, IN 46528 Phone: 574-533-1234 Fax: 574-537-2652
Orelia Daye, MSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 330 Lakeview Dr, Goshen, IN 46528 Phone: 574-533-1234 Fax: 574-537-2652

Elizabeth Nussbaum-gonzalez, LSW - Medicare Counselor in Goshen, IN