Mrs Deyanira Gonzalez, MSW in Othello, WA - Medicare Counselor Provider

Mrs Deyanira Gonzalez, MSW is a medicare enrolled "Counselor - Mental Health" provider in Othello, Washington. Her current practice location is 1515 E Columbia St, Othello, Washington. You can reach out to her office (for appointments etc.) via phone at (509) 488-5256.

Mrs Deyanira Gonzalez is licensed to practice in Washington (license number LH61318219) 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 1689181810.

Contact Information

	Mrs Deyanira Gonzalez, MSW
	1515 E Columbia St, Othello, WA 99344-1846
	(509) 488-5256
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Deyanira Gonzalez
Gender	Female
Speciality	Counselor - Mental Health
Location	1515 E Columbia St, Othello, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1689181810
Provider Enumeration Date: 01/09/2018
Last Update Date: 10/23/2024

Medicare PECOS Information:

PECOS PAC ID: 0345646642
Enrollment ID: I20210913001821

Medical Identifiers

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

Identifier	Type	State	Issuer
1689181810	NPI	-	NPPES
2100261	Medicaid	WA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	LH61318219 (Washington)	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. Mrs Deyanira Gonzalez allows following entities to bill medicare on her behalf.

Entity Name	Columbia Basin Health Association
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1528316379 PECOS PAC ID: 4486564309 Enrollment ID: O20040209000250

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. Mrs Deyanira 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
Mrs Deyanira Gonzalez, MSW 1515 E Columbia St, Othello, WA 99344-1846 Ph: (509) 488-5256	Mrs Deyanira Gonzalez, MSW 1515 E Columbia St, Othello, WA 99344-1846 Ph: (509) 488-5256

Reviews and Comments

Counselor in Othello, WA

Aaron Ross Jones, MSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 425 E Main St, Suite 600, Othello, WA 99344 Phone: 509-488-4074 Fax: 509-488-0166
Gloria Ochoa, Counselor Medicare: Not Enrolled in Medicare Practice Location: 425 E Main St Ste 600, Othello, WA 99344 Phone: 509-488-4074 Fax: 509-488-0166
Ann Christine Theriault, M.ED. Counselor Medicare: Not Enrolled in Medicare Practice Location: 425 E Main St, Othello, WA 99344 Phone: 509-488-5611
Elsie Aileen Garza, MSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 1515 E Columbia St, Othello, WA 99344 Phone: 509-488-5256 Fax: 509-488-9939
Dennis Borgman, Counselor Medicare: Not Enrolled in Medicare Practice Location: 425 E Main St Ste 600, Othello, WA 99344 Phone: 509-488-4074 Fax: 509-488-0166
Amanda Kern, Counselor Medicare: Not Enrolled in Medicare Practice Location: 425 E Main St, Suite 600, Othello, WA 99344 Phone: 509-488-4074 Fax: 509-488-0166
Richard A Maywald, Counselor Medicare: Not Enrolled in Medicare Practice Location: 425 E Main Suite 600, Othello, WA 99344 Phone: 509-488-5611 Fax: 509-488-0166

Mrs Deyanira Gonzalez, MSW - Medicare Counselor in Othello, WA