Jaclyn Gonzales, LPC-I in San Antonio, TX - Medicare Counselor Provider

Jaclyn Gonzales, LPC-I is a medicare enrolled "Counselor - Professional" provider in San Antonio, Texas. Her current practice location is 9500 Tioga Dr, San Antonio, Texas. You can reach out to her office (for appointments etc.) via phone at (210) 616-0828.

Jaclyn Gonzales is licensed to practice in Texas (license number 79320) 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 1023514270.

Contact Information

	Jaclyn Gonzales, LPC-I
	9500 Tioga Dr, San Antonio, TX 78230-3118
	(210) 616-0828
	(855) 616-0829

Map and Direction

Healthcare Provider's Profile

Full Name	Jaclyn Gonzales
Gender	Female
Speciality	Counselor - Professional
Location	9500 Tioga Dr, San Antonio, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1023514270
Provider Enumeration Date: 04/04/2018
Last Update Date: 04/04/2018

Medicare PECOS Information:

PECOS PAC ID: 2860842895
Enrollment ID: I20240103000939

Medical Identifiers

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

Identifier	Type	State	Issuer
1023514270	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	79320 (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. Jaclyn Gonzales allows following entities to bill medicare on her behalf.

Entity Name	Nueva Vida Behavioral Health Associates, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1669565529 PECOS PAC ID: 1052540176 Enrollment ID: O20140212000164

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. Jaclyn 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
Jaclyn Gonzales, LPC-I 9500 Tioga Dr, San Antonio, TX 78230-3118 Ph: (210) 616-0828	Jaclyn Gonzales, LPC-I 9500 Tioga Dr, San Antonio, TX 78230-3118 Ph: (210) 616-0828

Reviews and Comments

Counselor in San Antonio, TX

Paul Cassidy, Counselor Medicare: Medicare Enrolled Practice Location: 7272 Wurzbach Rd Ste 601, San Antonio, TX 78240 Phone: 210-615-3483
Andrea M Garcia, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3031 W Ih 10, San Antonio, TX 78201 Phone: 210-731-1300 Fax: 210-738-8025
Mrs. Cassandra Iris Limon, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4242 Medical Dr Ste 7250, San Antonio, TX 78229 Phone: 210-734-9352
Terri Kurpgeweit, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 7300 Blanco Rd, 501, San Antonio, TX 78216 Phone: 210-764-3570
Elizabeth Marie Villarreal, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 530 San Pedro Ave, San Antonio, TX 78212 Phone: 210-558-8744
Laura L Brown, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3031 W Ih 10, San Antonio, TX 78201 Phone: 210-731-1300 Fax: 210-731-8678
Kelly D Mitchell, LCDC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3031 W Ih 10, San Antonio, TX 78201 Phone: 210-261-1024 Fax: 210-738-8025

Jaclyn Gonzales, LPC-I - Medicare Counselor in San Antonio, TX