Miss Sandra M Gonzalez, in Dallas, TX - Medicare Dietitian, Registered Provider

Miss Sandra M Gonzalez, is a medicare enrolled "Dietitian, Registered" provider in Dallas, Texas. Her current practice location is 325 N Saint Paul St Ste 3100, Dallas, Texas. You can reach out to her office (for appointments etc.) via phone at (646) 389-3893.

Miss Sandra M Gonzalez is licensed to practice in Illinois (license number 164006804) 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 1336863893.

Contact Information

	Miss Sandra M Gonzalez,
	325 N Saint Paul St Ste 3100, Dallas, TX 75201-3923
	(646) 389-3893
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Miss Sandra M Gonzalez
Gender	Female
Speciality	Dietitian, Registered
Location	325 N Saint Paul St Ste 3100, Dallas, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1336863893
Provider Enumeration Date: 09/28/2022
Last Update Date: 09/28/2022

Medicare PECOS Information:

PECOS PAC ID: 8820468408
Enrollment ID: I20221222000972

Medical Identifiers

Medical identifiers for Miss Sandra M Gonzalez such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1336863893	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
133V00000X	Dietitian, Registered	164006804 (Illinois)	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. Miss Sandra M Gonzalez allows following entities to bill medicare on her behalf.

Provider Name	Channel Medical Group Pa
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1215670070 PECOS PAC ID: 0941670608 Enrollment ID: O20221221002771

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. Miss Sandra M 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
Miss Sandra M Gonzalez, 5147 S Harding Ave, Chicago, IL 60632-3710 Ph: (773) 757-2768	Miss Sandra M Gonzalez, 325 N Saint Paul St Ste 3100, Dallas, TX 75201-3923 Ph: (646) 389-3893

Reviews and Comments

Dietitian, Registered in Dallas, TX

Forever Nutrition Llc Dietitian Medicare: Not Enrolled in Medicare Practice Location: 10000 N Central Expy, Suite 400, Dallas, TX 75231 Phone: 314-805-2997
Stacie Anne Hunter, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1935 Medical District Dr, Dallas, TX 75235 Phone: 217-456-2178
Caroline Miller, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2350 N Stemmons Fwy, Dallas, TX 75207 Phone: 214-307-1142
Morgan Baulier, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 17060 Dallas Pkwy Ste 112, Dallas, TX 75248 Phone: 469-372-2022 Fax: 833-290-5413
Remy Bidmead, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 17060 Dallas Pkwy Ste 112, Dallas, TX 75248 Phone: 469-643-1978 Fax: 833-290-5413
Halle Newell, RDN, LD, CNSC Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1935 Medical District Dr, Dallas, TX 75235 Phone: 844-424-4537
Mrs. Meredith Doerries Ratliff, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 8200 Walnut Hill Ln, Dallas, TX 75231 Phone: 214-345-7413

Miss Sandra M Gonzalez, - Medicare Dietitian in Dallas, TX