Kellie Lynn Gonzalez, AMFT in Riverside, CA - Medicare Marriage & Family Therapist Provider

Kellie Lynn Gonzalez, AMFT is a medicare enrolled "Marriage & Family Therapist" provider in Riverside, California. Her current practice location is 525 Technology Ct Ste 105, Riverside, California. You can reach out to her office (for appointments etc.) via phone at (951) 686-8500.

Kellie Lynn Gonzalez is licensed to practice in California (license number 92986) 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 1730742263.

Contact Information

	Kellie Lynn Gonzalez, AMFT
	525 Technology Ct Ste 105, Riverside, CA 92507-2181
	(951) 686-8500
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Kellie Lynn Gonzalez
Gender	Female
Speciality	Marriage & Family Therapist
Location	525 Technology Ct Ste 105, Riverside, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1730742263
Provider Enumeration Date: 04/19/2019
Last Update Date: 03/09/2022

Medicare PECOS Information:

PECOS PAC ID: 0345782090
Enrollment ID: I20240610000785

Medical Identifiers

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

Identifier	Type	State	Issuer
1730742263	NPI	-	NPPES
D3043190	Other	CA	DRIVER LICENSE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
106H00000X	Marriage & Family Therapist	92986 (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. Kellie Lynn Gonzalez allows following entities to bill medicare on her behalf.

Entity Name	Grow Healthcare Group Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1154994846 PECOS PAC ID: 1850774746 Enrollment ID: O20220809004080

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. Kellie Lynn 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
Kellie Lynn Gonzalez, AMFT 1775 E Palm Canyon Dr Ste 110, Palm Springs, CA 92264-1623 Ph: () -	Kellie Lynn Gonzalez, AMFT 525 Technology Ct Ste 105, Riverside, CA 92507-2181 Ph: (951) 686-8500

Reviews and Comments

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Mr. Gregg W Starbuck, MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 3660 Park Sierra Dr Ste 109, Riverside, CA 92505 Phone: 951-743-5320

Kellie Lynn Gonzalez, AMFT - Medicare Couples Therapy in Riverside, CA