Valerie M Gonsalves, PHD in Madison, WI - Medicare Psychologist Provider

Valerie M Gonsalves, PHD is a medicare enrolled "Psychologist - Clinical" provider in Madison, Wisconsin. Her current practice location is 3099 E Washington Ave, Madison, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (773) 304-6737.

Valerie M Gonsalves is licensed to practice in Wisconsin (license number 2998) 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 1558918607.

Contact Information

	Valerie M Gonsalves, PHD
	3099 E Washington Ave, Madison, WI 53704-4338
	(773) 304-6737
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Valerie M Gonsalves
Gender	Female
Speciality	Psychologist - Clinical
Location	3099 E Washington Ave, Madison, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1558918607
Provider Enumeration Date: 08/22/2019
Last Update Date: 01/13/2022

Medicare PECOS Information:

PECOS PAC ID: 4587056627
Enrollment ID: I20220121001029

Medical Identifiers

Medical identifiers for Valerie M Gonsalves such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1558918607	NPI	-	NPPES
1558918607	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	2998 (Wisconsin)	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. Valerie M Gonsalves allows following entities to bill medicare on her behalf.

Entity Name	Community Service Associates, Sc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1780610923 PECOS PAC ID: 8426948746 Enrollment ID: O20040318001251

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. Valerie M Gonsalves 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
Valerie M Gonsalves, PHD 3099 E Washington Ave, Madison, WI 53704-4338 Ph: (773) 304-6737	Valerie M Gonsalves, PHD 3099 E Washington Ave, Madison, WI 53704-4338 Ph: (773) 304-6737

Reviews and Comments

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Valerie M Gonsalves, PHD - Medicare Psychologist in Madison, WI