Gustavo Gonzalez, LPC in Conroe, TX - Medicare Counselor Provider

Gustavo Gonzalez, LPC is a medicare enrolled "Counselor - Professional" provider in Conroe, Texas. His current practice location is 605 S Conroe Medical Dr, Conroe, Texas. You can reach out to his office (for appointments etc.) via phone at (936) 539-4004.

Gustavo Gonzalez is licensed to practice in Texas (license number 77612) 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 1710574058.

Contact Information

	Gustavo Gonzalez, LPC
	605 S Conroe Medical Dr, Conroe, TX 77304-4722
	(936) 539-4004
	(936) 539-3635

Map and Direction

Healthcare Provider's Profile

Full Name	Gustavo Gonzalez
Gender	Male
Speciality	Counselor - Professional
Location	605 S Conroe Medical Dr, Conroe, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1710574058
Provider Enumeration Date: 12/21/2020
Last Update Date: 05/13/2021

Medicare PECOS Information:

PECOS PAC ID: 9931556602
Enrollment ID: I20231117000910

Medical Identifiers

Medical identifiers for Gustavo Gonzalez such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1710574058	NPI	-	NPPES
4187866-01	Medicaid	TX

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	77612 (Texas)	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. Gustavo Gonzalez allows following entities to bill medicare on his behalf.

Entity Name	Lone Star Community Health Center, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1568590610 PECOS PAC ID: 7416841994 Enrollment ID: O20040318000793

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. Gustavo 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
Gustavo Gonzalez, LPC 605 S Conroe Medical Dr, Conroe, TX 77304-4722 Ph: (936) 539-4004	Gustavo Gonzalez, LPC 605 S Conroe Medical Dr, Conroe, TX 77304-4722 Ph: (936) 539-4004

Reviews and Comments

Counselor in Conroe, TX

Elise Dauksza, LPC Counselor Medicare: Medicare Enrolled Practice Location: 902 N San Jacinto St, Conroe, TX 77301 Phone: 951-704-4981
Cecilia Andrews, MED, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1092 Shadow Glenn Dr, Conroe, TX 77301 Phone: 936-524-6095
Lauren Cole, MA, LPC Counselor Medicare: Medicare Enrolled Practice Location: 233 Sgt Ed Holcomb Blvd S, Conroe, TX 77304 Phone: 936-521-6100
Ashley F Ward-hines, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3500 W Davis St Ste 250, Conroe, TX 77304 Phone: 713-899-9567
Kelli Fuller, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 233 Sgt Ed Holcomb Blvd S, Conroe, TX 77304 Phone: 936-521-6161
Dr. Roy E Sheneman, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 17528 Autumn Leaves Dr, Conroe, TX 77302 Phone: 956-499-0665
Mrs. Sarah Pate, LPC-I Counselor Medicare: Medicare Enrolled Practice Location: 3513 N Frazier St, Conroe, TX 77303 Phone: 936-689-7882

Gustavo Gonzalez, LPC - Medicare Counselor in Conroe, TX