Miguel Gonzalez, MS,OBLPCT LPC INTERN in Salem, OR

Miguel Gonzalez, MS,OBLPCT LPC INTERN is a medicare enrolled "Counselor - Mental Health" provider in Salem, Oregon. His current practice location is 4890 32nd Ave Se, Salem, Oregon. You can reach out to his office (for appointments etc.) via phone at (503) 588-5647.

Miguel Gonzalez is licensed to practice in * (Not Available) (license number ) 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 1164904124.

Contact Information

	Miguel Gonzalez, MS,OBLPCT LPC INTERN
	4890 32nd Ave Se, Salem, OR 97317-9350
	(503) 588-5647
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Miguel Gonzalez
Gender	Male
Speciality	Counselor - Mental Health
Location	4890 32nd Ave Se, Salem, Oregon
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1164904124
Provider Enumeration Date: 09/05/2018
Last Update Date: 09/05/2018

Medicare PECOS Information:

PECOS PAC ID: 3779922844
Enrollment ID: I20240423000099

Medical Identifiers

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

Identifier	Type	State	Issuer
1164904124	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	(* (Not Available))	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. Miguel Gonzalez allows following entities to bill medicare on his behalf.

Entity Name	Willamette Family Medical Center Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1649386418 PECOS PAC ID: 0749272201 Enrollment ID: O20040402000465

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. Miguel 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
Miguel Gonzalez, MS,OBLPCT LPC INTERN Po Box 946, Philomath, OR 97370-0946 Ph: (503) 562-9505	Miguel Gonzalez, MS,OBLPCT LPC INTERN 4890 32nd Ave Se, Salem, OR 97317-9350 Ph: (503) 588-5647

Reviews and Comments

Counselor in Salem, OR

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Ms. Tommie Mae Salas, MS/P, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 275 37th Ave Se, Salem, OR 97317 Phone: 503-983-0489 Fax: 503-585-0491
Mr. Thomas Wilson Dooley, MS,LPC, CRC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1515 Liberty St Se, Salem, OR 97302 Phone: 503-951-6280 Fax: 503-468-3130
Lynda Raylene Conley, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1599 State St, Salem, OR 97301 Phone: 503-363-3260
Rebekah Elizabeth Stoltzfus, Counselor Medicare: Not Enrolled in Medicare Practice Location: 805 Liberty St Ne Ste 2, Salem, OR 97301 Phone: 503-589-3112

Miguel Gonzalez, MS,OBLPCT LPC INTERN - Medicare Counselor in Salem, OR