Mia M Gonzales, PT in Glen Ellyn, IL - Medicare Physical Therapy Provider

Mia M Gonzales, PT is a medicare enrolled "Physical Therapist" provider in Glen Ellyn, Illinois. She graduated from medical school in 2006 and has 19 years of diverse experience with area of expertise as Physical Therapy. She is a member of the group practice Dupage Medical Group Ltd and her current practice location is 854 Roosevelt Rd Unit E10, Glen Ellyn, Illinois. You can reach out to her office (for appointments etc.) via phone at (630) 967-2000.

Mia M Gonzales is licensed to practice in Illinois (license number 070015338) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1215154927.

Contact Information

	Mia M Gonzales, PT
	854 Roosevelt Rd Unit E10, Glen Ellyn, IL 60137-6057
	(630) 967-2000
	(708) 995-1291

Map and Direction

Healthcare Provider's Profile

Full Name	Mia M Gonzales
Gender	Female
Speciality	Physical Therapy
Experience	19 Years
Location	854 Roosevelt Rd Unit E10, Glen Ellyn, Illinois
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mia M Gonzales graduated from medical school in 2006

NPI Data:

NPI Number: 1215154927
Provider Enumeration Date: 04/20/2007
Last Update Date: 05/26/2023

Medicare PECOS Information:

PECOS PAC ID: 3577625144
Enrollment ID: I20081217000051

Medical Identifiers

Medical identifiers for Mia M Gonzales such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1215154927	NPI	-	NPPES
DC7571	Other	IL	R.R. MEDICARE GROUP #
1619908	Other	IL	BCBS IL GROUP
CJ4383	Other	IL	R.R. MEDICARE GROUP #
1623066	Other	IL	BCBS PROVIDER #
567700	Other	IL	MEDICARE GROUP NUMBER
367885100	Other	IL	US DEPT OF LABOR

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	070015338 (Illinois)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Dupage Medical Group Ltd	5496667941	1186

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. Mia M Gonzales allows following entities to bill medicare on her behalf.

Provider Name	Dupage Medical Group Ltd
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1801833983 PECOS PAC ID: 5496667941 Enrollment ID: O20040116000661

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. Mia M 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
Mia M Gonzales, PT Po Box 713260, Chicago, IL 60677-1260 Ph: (630) 469-9200	Mia M Gonzales, PT 854 Roosevelt Rd Unit E10, Glen Ellyn, IL 60137-6057 Ph: (630) 967-2000

Reviews and Comments

Physical Therapist in Glen Ellyn, IL

Joel D Riemenschneider, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 926 Roosevelt Rd, Glen Ellyn, IL 60137 Phone: 630-858-8484 Fax: 630-858-9006
Mrs. Mary Jane Hayes, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 435 Taft Ave, Glen Ellyn, IL 60137 Phone: 630-790-1091 Fax: 630-790-1091
Michelle Brewer, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 430 Pennsylvania Ave Ste 240, Glen Ellyn, IL 60137 Phone: 630-967-2000
Megan A Ziman, PT,DPT,ATC Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 875 Roosevelt Rd, Glen Ellyn, IL 60137 Phone: 630-469-7858
Mr. Robert Joseph Kennedy, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 155 Bryant Ave, Glen Ellyn, IL 60137 Phone: 630-379-8922
Mr. Allen M Cuevas, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 854 Roosevelt Rd Unit E10, Glen Ellyn, IL 60137 Phone: 630-967-2000 Fax: 708-995-1291
Alyssa M Hermann, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 430 Pennsylvania Ave, Glen Ellyn, IL 60137 Phone: 630-469-9200

Mia M Gonzales, PT - Medicare Physical Therapist in Glen Ellyn, IL