Raquel Estrada Gonzalez, PHD is a medicare enrolled "Psychologist - Clinical" provider in San Antonio, Texas. Her current practice location is
7272 Wurzbach Rd, Suite 601, San Antonio, Texas. You can reach out to her office (for appointments etc.) via phone at
(210) 615-8880.
Raquel Estrada Gonzalez is licensed to practice in Texas (license number 32207) 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 1114080140.
Healthcare Provider's Profile
| Full Name | Raquel Estrada Gonzalez |
|---|
| Gender | Female |
|---|
| Speciality | Psychologist - Clinical |
|---|
| Location | 7272 Wurzbach Rd, San Antonio, Texas |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1114080140
- Provider Enumeration Date: 12/19/2006
- Last Update Date: 04/11/2019
Medicare PECOS Information:
- PECOS PAC ID: 2860729720
- Enrollment ID: I20190815000400
Medical Identifiers
Medical identifiers for Raquel Estrada Gonzalez such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1114080140 | NPI | - | NPPES |
| 32207 | Other | TX | LICENSE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YP2500X | Counselor - Professional | 56995 (Texas) | Secondary |
| 103TC0700X | Psychologist - Clinical | 32207 (Texas) | 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. Raquel Estrada Gonzalez allows following entities to bill medicare on her behalf.
| Entity Name | Deer Oaks Geriatric Services P C |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1134169287
PECOS PAC ID: 9234034075
Enrollment ID: O20031204000440 |
|---|
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. Raquel Estrada 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 |
|---|
Raquel Estrada Gonzalez, PHD
7272 Wurzbach Rd, Suite 601,
San Antonio, TX 78240-4801
Ph: (210) 615-8880 | Raquel Estrada Gonzalez, PHD
7272 Wurzbach Rd, Suite 601,
San Antonio, TX 78240-4801
Ph: (210) 615-8880 |
Reviews and Comments