Eugene Gonzales, is a
Specialist based in Holbrook, Arizona. Eugene Gonzales is licensed to practice in Arizona (license number 256) and his current practice location is
105 N 5th Ave, Holbrook, Arizona. He can be reached at his office (for appointments etc.) via phone at
(928) 524-6126.
NPI number for Eugene Gonzales is 1811035751 and his current mailing address is Po Box 972, Holbrook, Arizona. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1811035751.
Healthcare Provider's Profile
| Full Name | Eugene Gonzales |
|---|
| Gender | Male |
|---|
| Speciality | Specialist |
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| Location | 105 N 5th Ave, Holbrook, Arizona |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1811035751
- Provider Enumeration Date: 02/02/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Eugene Gonzales such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1811035751 | NPI | - | NPPES |
| 167332 | Other | AZ | AHCCCS |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | LISAC-1244 (Arizona) | Primary |
| 174400000X | Specialist | 256 (Arizona) | Primary |
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. Eugene Gonzales is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Eugene Gonzales,
Po Box 972,
Holbrook, AZ 86025-0972
Ph: (928) 524-2728 | Eugene Gonzales,
105 N 5th Ave,
Holbrook, AZ 86025-2817
Ph: (928) 524-6126 |
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