Dr Elizabeth Ortiz Gonzalez, PHD in San Angelo, TX

Dr Elizabeth Ortiz Gonzalez, PHD is a medicare enrolled "Psychologist - Clinical Child & Adolescent" provider in San Angelo, Texas. Her current practice location is 120 E Beauregard Ave, San Angelo, Texas. You can reach out to her office (for appointments etc.) via phone at (325) 653-6741.

Dr Elizabeth Ortiz Gonzalez is licensed to practice in Texas (license number 38868) 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 1396417077.

Contact Information

	Dr Elizabeth Ortiz Gonzalez, PHD
	120 E Beauregard Ave, San Angelo, TX 76903-5919
	(325) 653-6741
	(325) 747-2525

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Elizabeth Ortiz Gonzalez
Gender	Female
Speciality	Psychologist - Clinical Child & Adolescent
Location	120 E Beauregard Ave, San Angelo, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1396417077
Provider Enumeration Date: 10/01/2021
Last Update Date: 10/01/2021

Medicare PECOS Information:

PECOS PAC ID: 3173921012
Enrollment ID: I20211007002087

Medical Identifiers

Medical identifiers for Dr Elizabeth Ortiz Gonzalez such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1396417077	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	38868 (Texas)	Secondary
103TB0200X	Psychologist - Cognitive & Behavioral	38868 (Texas)	Secondary
103TC0700X	Psychologist - Clinical	38868 (Texas)	Secondary
103TC2200X	Psychologist - Clinical Child & Adolescent	38868 (Texas)	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 Elizabeth Ortiz Gonzalez allows following entities to bill medicare on her behalf.

Entity Name	Shannon Clinic
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770587149 PECOS PAC ID: 0840103727 Enrollment ID: O20031222000702

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 Elizabeth Ortiz 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
Dr Elizabeth Ortiz Gonzalez, PHD 120 E Beauregard Ave, San Angelo, TX 76903-5919 Ph: (806) 730-9075	Dr Elizabeth Ortiz Gonzalez, PHD 120 E Beauregard Ave, San Angelo, TX 76903-5919 Ph: (325) 653-6741

Reviews and Comments

Psychologist in San Angelo, TX

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Joe Mac Jeffers, ED.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3471 Knickerbocker Rd, Ste 508, San Angelo, TX 76904 Phone: 325-942-7531 Fax: 325-942-7532
Dr. Charles Zapata, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 271 Fort Richardson Ave, San Angelo, TX 76908 Phone: 325-654-3122

Dr Elizabeth Ortiz Gonzalez, PHD - Medicare Psychologist in San Angelo, TX