Dr Janice C Gonzales, PHD in Pueblo, CO - Medicare Psychologist Provider

Dr Janice C Gonzales, PHD is a medicare enrolled "Psychologist - Clinical" provider in Pueblo, Colorado. Her current practice location is 805 Desert Flower Blvd, Pueblo, Colorado. You can reach out to her office (for appointments etc.) via phone at (719) 540-2183.

Dr Janice C Gonzales is licensed to practice in Colorado (license number PSY4196) 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 1215567425.

Contact Information

	Dr Janice C Gonzales, PHD
	805 Desert Flower Blvd, Pueblo, CO 81001-1146
	(719) 540-2183
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Janice C Gonzales
Gender	Female
Speciality	Psychologist - Clinical
Location	805 Desert Flower Blvd, Pueblo, Colorado
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1215567425
Provider Enumeration Date: 01/16/2020
Last Update Date: 08/18/2022

Medicare PECOS Information:

PECOS PAC ID: 8022400035
Enrollment ID: I20220125003179

Medical Identifiers

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

Identifier	Type	State	Issuer
1215567425	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TF0200X	Psychologist - Forensic	0004196 (Colorado)	Secondary
103TC0700X	Psychologist - Clinical	PSY4196 (Colorado)	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 Janice C Gonzales allows following entities to bill medicare on her behalf.

Entity Name	Sondermind Provider Network Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1760854442 PECOS PAC ID: 9537572490 Enrollment ID: O20210113002826

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 Janice C 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 Janice C Gonzales, PHD 805 Desert Flower Blvd, Pueblo, CO 81001-1146 Ph: () -	Dr Janice C Gonzales, PHD 805 Desert Flower Blvd, Pueblo, CO 81001-1146 Ph: (719) 540-2183

Reviews and Comments

Psychologist in Pueblo, CO

Dr. Salvador Cruz, MD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 128 S-union, Suite C, Pueblo, CO 81003 Phone: 719-543-6988 Fax: 719-542-1290
Dr. Douglas Jones, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 720 N Main St Ste 240, Pueblo, CO 81003 Phone: 719-994-7643 Fax: 719-960-2989
Raymond M. Quinones, PSY.D Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1600 W 24th St, Pueblo, CO 81003 Phone: 719-546-4910
Charles R. Bennett, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1600 W 24th St, Pueblo, CO 81003 Phone: 719-546-4838
Dr. Richard Blair Madsen, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 417 W 13th St, Pueblo, CO 81003 Phone: 719-544-0877 Fax: 719-544-2033
Peggy A. Hicks, ED.D Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1600 W 24th St, Pueblo, CO 81003 Phone: 719-546-4552
Tess Scogan, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1600 W 24th St, Pueblo, CO 81003 Phone: 719-546-4805

Dr Janice C Gonzales, PHD - Medicare Psychologist in Pueblo, CO