Ignacio Fabian Gonzales, MS in Moses Lake, WA

Ignacio Fabian Gonzales, MS is a medicare enrolled "Counselor - Mental Health" provider in Moses Lake, Washington. His current practice location is 1550 S Pioneer Way Ste 165, Moses Lake, Washington. You can reach out to his office (for appointments etc.) via phone at (509) 793-9780.

Ignacio Fabian Gonzales is licensed to practice in Washington (license number LH60063586) 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 1093742595.

Contact Information

	Ignacio Fabian Gonzales, MS
	1550 S Pioneer Way Ste 165, Moses Lake, WA 98837-4637
	(509) 793-9780
	(509) 764-3246

Map and Direction

Healthcare Provider's Profile

Full Name	Ignacio Fabian Gonzales
Gender	Male
Speciality	Counselor - Mental Health
Location	1550 S Pioneer Way Ste 165, Moses Lake, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1093742595
Provider Enumeration Date: 06/28/2006
Last Update Date: 04/27/2021

Medicare PECOS Information:

PECOS PAC ID: 3375994627
Enrollment ID: I20240110004828

Medical Identifiers

Medical identifiers for Ignacio Fabian Gonzales such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1093742595	NPI	-	NPPES
2124122	Medicaid	WA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	RC00054597 (Washington)	Secondary
101YM0800X	Counselor - Mental Health	LH60063586 (Washington)	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. Ignacio Fabian Gonzales allows following entities to bill medicare on his behalf.

Entity Name	Grant County Public Hospital District 1
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1619086766 PECOS PAC ID: 9931095692 Enrollment ID: O20040227000602

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. Ignacio Fabian 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
Ignacio Fabian Gonzales, MS 660 S Coolidge St, Moses Lake, WA 98837-1872 Ph: (509) 793-9715	Ignacio Fabian Gonzales, MS 1550 S Pioneer Way Ste 165, Moses Lake, WA 98837-4637 Ph: (509) 793-9780

Reviews and Comments

Counselor in Moses Lake, WA

Marisol Gonzalez, Counselor Medicare: Not Enrolled in Medicare Practice Location: 840 E Plum St, Moses Lake, WA 98837 Phone: 095-707-9264
Pegi Mueller, BA Counselor Medicare: Not Enrolled in Medicare Practice Location: 840 E Plum St, Moses Lake, WA 98837 Phone: 509-765-9239 Fax: 509-765-1582
Tiffany Deleon, AA Counselor Medicare: Not Enrolled in Medicare Practice Location: 840 E Plum St, Moses Lake, WA 98837 Phone: 509-765-9239 Fax: 509-765-4124
Decorah Curren, BS Counselor Medicare: Not Enrolled in Medicare Practice Location: 840 E Plum, Moses Lake, WA 98837 Phone: 509-765-9239 Fax: 509-765-1582
Kayleen Elizabeth Simpson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 840 E Plum St, Moses Lake, WA 98837 Phone: 860-986-9998
Bonnie Russell, BS Counselor Medicare: Not Enrolled in Medicare Practice Location: 840 E Plum, Moses Lake, WA 98837 Phone: 509-765-9239 Fax: 509-765-1582
Roger Alan Mar, MBA Counselor Medicare: Not Enrolled in Medicare Practice Location: 840 E Plum St, Moses Lake, WA 98837 Phone: 509-765-9239

Ignacio Fabian Gonzales, MS - Medicare Counselor in Moses Lake, WA