Lissette Alvarez Gonzalez, is a medicare enrolled "Behavior Analyst" provider in Miami Springs, Florida. Her current practice location is
230 Canal St Apt 202, Miami Springs, Florida. You can reach out to her office (for appointments etc.) via phone at
(305) 416-8189.
Lissette Alvarez Gonzalez is licensed to practice in Florida (license number BCBA1-23-70484) 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 1578003182.
Healthcare Provider's Profile
| Full Name | Lissette Alvarez Gonzalez |
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| Gender | Female |
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| Speciality | Behavior Analyst |
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| Location | 230 Canal St Apt 202, Miami Springs, Florida |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1578003182
- Provider Enumeration Date: 03/01/2017
- Last Update Date: 10/31/2024
Medicare PECOS Information:
- PECOS PAC ID: 2769821206
- Enrollment ID: I20240417002555
Medical Identifiers
Medical identifiers for Lissette Alvarez Gonzalez such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1578003182 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YM0800X | Counselor - Mental Health | MH21431 (* (Not Available)) | Secondary |
| 106E00000X | Assistant Behavior Analyst | (* (Not Available)) | Secondary |
| 106S00000X | Behavior Technician | (* (Not Available)) | Secondary |
| 103K00000X | Behavior Analyst | BCBA1-23-70484 (Florida) | 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. Lissette Alvarez Gonzalez allows following entities to bill medicare on her behalf.
| Entity Name | Faith And Hope Services Group Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1669171294
PECOS PAC ID: 1850730391
Enrollment ID: O20240417002296 |
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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. Lissette Alvarez 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 |
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Lissette Alvarez Gonzalez,
230 Canal St Apt 202,
Miami Springs, FL 33166-4456
Ph: (305) 416-8189 | Lissette Alvarez Gonzalez,
230 Canal St Apt 202,
Miami Springs, FL 33166-4456
Ph: (305) 416-8189 |
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