Mrs Agnes E Gonzaga, FNP in Sherman Oaks, CA - Medicare Nurse Practitioner

Mrs Agnes E Gonzaga, FNP is a medicare enrolled "Nurse Practitioner - Family" in Sherman Oaks, California. Her current practice location is 4955 Van Nuys Blvd Ste 411, Sherman Oaks, California. You can reach out to her office (for appointments etc.) via phone at (818) 784-1195.

Mrs Agnes E Gonzaga is licensed to practice in California (license number NP95012951) 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 1659947380.

Contact Information

	Mrs Agnes E Gonzaga, FNP
	4955 Van Nuys Blvd Ste 411, Sherman Oaks, CA 91403-1824
	(818) 784-1195
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Agnes E Gonzaga
Gender	Female
Speciality	Nurse Practitioner - Family
Location	4955 Van Nuys Blvd Ste 411, Sherman Oaks, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1659947380
Provider Enumeration Date: 06/02/2021
Last Update Date: 06/02/2021

Medicare PECOS Information:

PECOS PAC ID: 9133573850
Enrollment ID: I20230929000825

Medical Identifiers

Medical identifiers for Mrs Agnes E Gonzaga such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1659947380	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	NP95012951 (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. Mrs Agnes E Gonzaga allows following entities to bill medicare on her behalf.

Entity Name	Vital Urgent Care Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1417371477 PECOS PAC ID: 8729200936 Enrollment ID: O20141103001860

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. Mrs Agnes E Gonzaga 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
Mrs Agnes E Gonzaga, FNP 4955 Van Nuys Blvd Ste 411, Sherman Oaks, CA 91403-1824 Ph: (818) 784-1195	Mrs Agnes E Gonzaga, FNP 4955 Van Nuys Blvd Ste 411, Sherman Oaks, CA 91403-1824 Ph: (818) 784-1195

Reviews and Comments

Nurse Practitioner Nurses in Sherman Oaks, CA

Somaly Sith, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4849 Van Nuys Blvd # 202, Sherman Oaks, CA 91403 Phone: 404-213-0453
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Mrs. Allison W Dolphin, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 14735 Ventura Blvd, Sherman Oaks, CA 91403 Phone: 818-788-0208
Jennifer Quandt Nunez, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 15477 Ventura Blvd, Sherman Oaks, CA 91403 Phone: 818-907-0322
Racquelle Ranan Tugade Thieling, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5805 Sepulveda Blvd Ste 690, Sherman Oaks, CA 91411 Phone: 818-900-6480 Fax: 818-900-6488
Laura Marie Cortez, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5651 Sepulveda Blvd Ste 201, Sherman Oaks, CA 91411 Phone: 818-788-2400
Ardene J Cudiamat, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4955 Van Nuys Blvd, Suite 411, Sherman Oaks, CA 91403 Phone: 818-784-7903 Fax: 818-784-7026

Mrs Agnes E Gonzaga, FNP - Medicare Nurse Practitioner in Sherman Oaks, CA