Dr Mariesa Gonzales, DPT, BSHA in Albuquerque, NM - Medicare Physical Therapist Provider

Dr Mariesa Gonzales, DPT, BSHA is a medicare enrolled "Physical Therapist" provider in Albuquerque, New Mexico. Her current practice location is 2100 Louisiana Blvd Ne Ste 410, Albuquerque, New Mexico. You can reach out to her office (for appointments etc.) via phone at (505) 724-4300.

Dr Mariesa Gonzales is licensed to practice in New Mexico (license number PT2023-2307) 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 1811361405.

Contact Information

	Dr Mariesa Gonzales, DPT, BSHA
	2100 Louisiana Blvd Ne Ste 410, Albuquerque, NM 87110-5412
	(505) 724-4300
	(505) 724-4384

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Mariesa Gonzales
Gender	Female
Speciality	Physical Therapist
Location	2100 Louisiana Blvd Ne Ste 410, Albuquerque, New Mexico
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1811361405
Provider Enumeration Date: 11/19/2015
Last Update Date: 11/08/2023

Medicare PECOS Information:

PECOS PAC ID: 8820321094
Enrollment ID: I20190604001540

Medical Identifiers

Medical identifiers for Dr Mariesa Gonzales such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1811361405	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	1268486 (Texas)	Secondary
225100000X	Physical Therapist	LPT-30112 (Arizona)	Secondary
225100000X	Physical Therapist	PT2023-2307 (New Mexico)	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. Dr Mariesa Gonzales allows following entities to bill medicare on her behalf.

Provider Name	Applied Physical Medicine Pllc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1982018602 PECOS PAC ID: 0042439853 Enrollment ID: O20140909002712

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. Dr Mariesa 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
Dr Mariesa Gonzales, DPT, BSHA 2100 Louisiana Blvd Ne Ste 410, Albuquerque, NM 87110-5412 Ph: (505) 724-4300	Dr Mariesa Gonzales, DPT, BSHA 2100 Louisiana Blvd Ne Ste 410, Albuquerque, NM 87110-5412 Ph: (505) 724-4300

Reviews and Comments

Physical Therapist in Albuquerque, NM

Rebecca A Vidos-roland, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4600 Montgomery Blvd Ne, Albuquerque, NM 87109 Phone: 505-343-6328 Fax: 505-727-9515
Roylee Luna, D.P.T Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4411 Montano Rd Nw, Suite F, Albuquerque, NM 87120 Phone: 505-838-8900 Fax: 505-838-8313
Dr. Ian Sean Ruybalid, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2116 Vista Oeste Nw Bldg 3a, Albuquerque, NM 87120 Phone: 505-895-9353
Amy Elizabeth Harrison, MSPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3000 Summit Pl Ne, Albuquerque, NM 87106 Phone: 505-604-2740
Melody Dawn Krech, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 5130 San Francisco Rd Ne, Ste B, Albuquerque, NM 87109 Phone: 505-823-2411 Fax: 505-858-0650
William L Rohrig, THERAPY DIR. II Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5700 Harper Dr Ne, Albuquerque, NM 87109 Phone: 505-858-8526 Fax: 505-858-8570
Albuquerque Physical Therapists Pc Physical Therapist Medicare: Medicare Enrolled Practice Location: 7615 Indian School Rd Ne, Albuquerque, NM 87110 Phone: 505-888-7979 Fax: 505-888-8859

Dr Mariesa Gonzales, DPT, BSHA - Medicare Physical Therapist in Albuquerque, NM