Jennifer Amaya Gonzalez, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Monterey Park, California. Her current practice location is
1000 Corporate Center Dr Ste 650, Monterey Park, California. You can reach out to her office (for appointments etc.) via phone at
(323) 526-4016.
Jennifer Amaya Gonzalez is licensed to practice in California (license number 86178) 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 1043610553.
Healthcare Provider's Profile
Full Name | Jennifer Amaya Gonzalez |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 1000 Corporate Center Dr Ste 650, Monterey Park, California |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1043610553
- Provider Enumeration Date: 09/03/2014
- Last Update Date: 10/10/2018
Medicare PECOS Information:
- PECOS PAC ID: 1759625411
- Enrollment ID: I20181206001470
Medical Identifiers
Medical identifiers for Jennifer Amaya Gonzalez such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1043610553 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | D9638007 (California) | Secondary |
1041C0700X | Social Worker - Clinical | 86178 (California) | 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. Jennifer Amaya Gonzalez allows following entities to bill medicare on her behalf.
Entity Name | Venice Family Clinic |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1669418513 PECOS PAC ID: 2264339126 Enrollment ID: O20031217001082 |
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Entity Name | Alma Family Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1992834659 PECOS PAC ID: 8729114855 Enrollment ID: O20100329000511 |
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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. Jennifer Amaya 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 |
Jennifer Amaya Gonzalez, LCSW 149 S Mednik Ave Ste 201, Los Angeles, CA 90022-1606 Ph: () - | Jennifer Amaya Gonzalez, LCSW 1000 Corporate Center Dr Ste 650, Monterey Park, CA 91754-7639 Ph: (323) 526-4016 |
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