Mrs Patricia Jane Gonzalez, LPC, MT-BC in Broomall, PA

Mrs Patricia Jane Gonzalez, LPC, MT-BC is a medicare enrolled "Counselor - Mental Health" provider in Broomall, Pennsylvania. Her current practice location is 390 Reed Rd Fl 1, Broomall, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (484) 450-6476.

Mrs Patricia Jane Gonzalez is licensed to practice in Pennsylvania (license number PC007798) 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 1396085387.

Contact Information

	Mrs Patricia Jane Gonzalez, LPC, MT-BC
	390 Reed Rd Fl 1, Broomall, PA 19008-4008
	(484) 450-6476
	(484) 224-3398

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Patricia Jane Gonzalez
Gender	Female
Speciality	Counselor - Mental Health
Location	390 Reed Rd Fl 1, Broomall, Pennsylvania
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1396085387
Provider Enumeration Date: 02/27/2013
Last Update Date: 01/17/2024

Medicare PECOS Information:

PECOS PAC ID: 7618113507
Enrollment ID: I20240112004174

Medical Identifiers

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

Identifier	Type	State	Issuer
1396085387	NPI	-	NPPES
103499164	Medicaid	PA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	PC007798 (Pennsylvania)	Primary
225A00000X	Music Therapist	(* (Not Available))	Secondary

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 Patricia Jane Gonzalez allows following entities to bill medicare on her behalf.

Entity Name	Spectra Support Services, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1134482409 PECOS PAC ID: 9133364045 Enrollment ID: O20130419000308

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 Patricia Jane 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 Patricia Jane Gonzalez, LPC, MT-BC 233 S Swarthmore Ave, Swarthmore, PA 19081-1606 Ph: (267) 205-6776	Mrs Patricia Jane Gonzalez, LPC, MT-BC 390 Reed Rd Fl 1, Broomall, PA 19008-4008 Ph: (484) 450-6476

Reviews and Comments

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Sarah Lynch, MA MFT, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 600 Abbott Dr, Broomall, PA 19008 Phone: 484-476-1884
Melissa S. Quigley, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 600 Abbott Dr, Broomall, PA 19008 Phone: 484-476-1817 Fax: 484-471-5151
Stephanie Iannucci, LPC, LBS Counselor Medicare: Not Enrolled in Medicare Practice Location: 450 Parkway, #204, Broomall, PA 19008 Phone: 610-715-9613

Mrs Patricia Jane Gonzalez, LPC, MT-BC - Medicare Counselor in Broomall, PA