Mrs Dionne A Gonzales, CNM, WHNP is a medicare enrolled "Advanced Practice Midwife" in Rancho Cucamonga, California. Her current practice location is
6584 Elderberry Ct, Rancho Cucamonga, California. You can reach out to her office (for appointments etc.) via phone at
(323) 407-1675.
Mrs Dionne A Gonzales is licensed to practice in California (license number 236313) 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 1033820469.
Provider's Profile
| Full Name | Mrs Dionne A Gonzales |
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| Gender | Female |
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| Speciality | Advanced Practice Midwife |
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| Location | 6584 Elderberry Ct, Rancho Cucamonga, 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: 1033820469
- Provider Enumeration Date: 12/06/2022
- Last Update Date: 12/22/2023
Medicare PECOS Information:
- PECOS PAC ID: 4284071416
- Enrollment ID: I20240325000984
Medical Identifiers
Medical identifiers for Mrs Dionne A Gonzales such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1033820469 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LW0102X | Nurse Practitioner - Women's Health | 95022829 (California) | Secondary |
| 367A00000X | Advanced Practice Midwife | 236313 (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 Dionne A Gonzales 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. Mrs Dionne A 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 |
|---|
Mrs Dionne A Gonzales, CNM, WHNP
6584 Elderberry Ct,
Rancho Cucamonga, CA 91739-1539
Ph: (323) 407-1675 | Mrs Dionne A Gonzales, CNM, WHNP
6584 Elderberry Ct,
Rancho Cucamonga, CA 91739-1539
Ph: (323) 407-1675 |
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