Theresita Gonzalez, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Mission Viejo, California. Her current practice location is
25910 Acero Ste 160, Mission Viejo, California. You can reach out to her office (for appointments etc.) via phone at
(909) 790-1300.
Theresita Gonzalez is licensed to practice in California (license number 110098) 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 1790244325.
Healthcare Provider's Profile
| Full Name | Theresita Gonzalez |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 25910 Acero Ste 160, Mission Viejo, California |
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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: 1790244325
- Provider Enumeration Date: 03/13/2019
- Last Update Date: 06/28/2023
Medicare PECOS Information:
- PECOS PAC ID: 0840645495
- Enrollment ID: I20231017001695
Medical Identifiers
Medical identifiers for Theresita Gonzalez such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1790244325 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YM0800X | Counselor - Mental Health | 86559 (California) | Secondary |
| 104100000X | Social Worker | 86559 (California) | Secondary |
| 1041C0700X | Social Worker - Clinical | 110098 (California) | 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. Theresita Gonzalez allows following entities to bill medicare on her behalf.
| Entity Name | Southern California Permanente Medical Group |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1316979834
PECOS PAC ID: 6002729175
Enrollment ID: O20040126000823 |
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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. Theresita 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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Theresita Gonzalez, LCSW
25910 Acero Ste 160,
Mission Viejo, CA 92691-2777
Ph: (909) 790-1300 | Theresita Gonzalez, LCSW
25910 Acero Ste 160,
Mission Viejo, CA 92691-2777
Ph: (909) 790-1300 |
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