Dr Jared Gonzales, in Las Cruces, NM - Medicare Psychologist Provider

Dr Jared Gonzales, is a medicare enrolled "Psychologist - Clinical" provider in Las Cruces, New Mexico. His current practice location is 1395 Missouri Ave, Las Cruces, New Mexico. You can reach out to his office (for appointments etc.) via phone at (575) 621-4304.

Dr Jared Gonzales is licensed to practice in New Mexico (license number PSY1734) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1801224332.

Contact Information

	Dr Jared Gonzales,
	1395 Missouri Ave, Las Cruces, NM 88001-5327
	(575) 621-4304
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Jared Gonzales
Gender	Male
Speciality	Psychologist - Clinical
Location	1395 Missouri Ave, Las Cruces, 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: 1801224332
Provider Enumeration Date: 10/18/2013
Last Update Date: 10/13/2022

Medicare PECOS Information:

PECOS PAC ID: 0244600641
Enrollment ID: I20221229001430

Medical Identifiers

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

Identifier	Type	State	Issuer
1801224332	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TS0200X	Psychologist - School	313091 (New Mexico)	Secondary
103TC0700X	Psychologist - Clinical	PSY1734 (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 Jared Gonzales allows following entities to bill medicare on his behalf.

Entity Name	Jared J. Gonzales Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245963651 PECOS PAC ID: 6709254386 Enrollment ID: O20221202000472

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 Jared 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 Jared Gonzales, 4672 Mesita St, Las Cruces, NM 88012-6329 Ph: () -	Dr Jared Gonzales, 1395 Missouri Ave, Las Cruces, NM 88001-5327 Ph: (575) 621-4304

Reviews and Comments

Psychologist in Las Cruces, NM

Mr. Jeremy James Baldillez, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3100 Oak St, Las Cruces, NM 88005 Phone: 575-323-3354 Fax: 575-523-3354
Dr. Corey J Vas, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 741 N Alameda Blvd Ste 6, Las Cruces, NM 88005 Phone: 575-496-2616 Fax: 575-571-4483
Lisa S Peterson, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 505 S Main St Ste 249, Las Cruces, NM 88001 Phone: 515-527-5884
Kay E. Ennis, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2800 Nieve Ln, Las Cruces, NM 88005 Phone: 575-640-7022
Jean Norwood, PH.D Psychologist Medicare: Not Enrolled in Medicare Practice Location: 505 S Main St, Suite 249, Las Cruces, NM 88001 Phone: 505-527-5823 Fax: 505-527-5886
Dr. Margaret Dorothy Collins, PH.D Psychologist Medicare: Not Enrolled in Medicare Practice Location: 505 S Main St, Suite 249, Las Cruces, NM 88001 Phone: 505-527-5823 Fax: 505-527-5886
Mr. Jeffrey Mark Schwehn, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 4421 Los Arboles Dr, Las Cruces, NM 88011 Phone: 505-522-1217

Dr Jared Gonzales, - Medicare Psychologist in Las Cruces, NM