Mirna Gonzales, is a medicare enrolled "Marriage & Family Therapist" provider in Arvin, California. Her current practice location is
1305 Bear Mountain Blvd, Arvin, California. You can reach out to her office (for appointments etc.) via phone at
(661) 396-7100.
Mirna Gonzales is licensed to practice in California (license number 115934) 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 1053741124.
Healthcare Provider's Profile
| Full Name | Mirna Gonzales |
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| Gender | Female |
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| Speciality | Marriage & Family Therapist |
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| Location | 1305 Bear Mountain Blvd, Arvin, 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: 1053741124
- Provider Enumeration Date: 11/26/2013
- Last Update Date: 12/22/2023
Medicare PECOS Information:
- PECOS PAC ID: 1951752591
- Enrollment ID: I20240109001074
Medical Identifiers
Medical identifiers for Mirna Gonzales such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1053741124 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 106H00000X | Marriage & Family Therapist | IMF 82350 (California) | Secondary |
| 106H00000X | Marriage & Family Therapist | 115934 (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. Mirna Gonzales allows following entities to bill medicare on her behalf.
| Entity Name | Infusion And Clinical Services Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1083952857
PECOS PAC ID: 5890934426
Enrollment ID: O20130612000039 |
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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. Mirna Gonzales 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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Mirna Gonzales,
1305 Bear Mountain Blvd,
Arvin, CA 93203-1231
Ph: (661) 396-7100 | Mirna Gonzales,
1305 Bear Mountain Blvd,
Arvin, CA 93203-1231
Ph: (661) 396-7100 |
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