Jacqueline Gonzalez, NP in Sylmar, CA - Medicare Nurse Practitioner

Jacqueline Gonzalez, NP is a medicare enrolled "Nurse Practitioner - Family" in Sylmar, California. Her current practice location is 14445 Olive View Dr, Sylmar, California. You can reach out to her office (for appointments etc.) via phone at (818) 364-3031.

Jacqueline Gonzalez is licensed to practice in California (license number 95001151) 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 1053711069.

Contact Information

	Jacqueline Gonzalez, NP
	14445 Olive View Dr, Sylmar, CA 91342-1437
	(818) 364-3031
	Not Available

Map and Direction

Provider's Profile

Full Name	Jacqueline Gonzalez
Gender	Female
Speciality	Nurse Practitioner - Family
Location	14445 Olive View Dr, Sylmar, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1053711069
Provider Enumeration Date: 08/27/2014
Last Update Date: 08/27/2014

Medicare PECOS Information:

PECOS PAC ID: 0648580324
Enrollment ID: I20151109001870

Medical Identifiers

Medical identifiers for Jacqueline Gonzalez such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1053711069	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	95001151 (California)	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. Jacqueline Gonzalez allows following entities to bill medicare on her behalf.

Entity Name	County Of Los Angeles
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1851363188 PECOS PAC ID: 1850296534 Enrollment ID: O20031204001218

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. Jacqueline 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
Jacqueline Gonzalez, NP 19029 Nordhoff St Unit 110, Northridge, CA 91324-4803 Ph: (818) 515-1481	Jacqueline Gonzalez, NP 14445 Olive View Dr, Sylmar, CA 91342-1437 Ph: (818) 364-3031

Reviews and Comments

Nurse Practitioner Nurses in Sylmar, CA

Mrs. Nisha Eugene Hatia, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 14445 Olive Way Dr, Olive View Ucla, Sylmar, CA 91342 Phone: 818-364-3632
Ms. Valerie J. Payne, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 14445 Olive View Drive, Room 6b119-h, Sylmar, CA 91342 Phone: 818-364-3031
Tara Elizabeth Soto, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 14117 Hubbard St Unit M, Sylmar, CA 91342 Phone: 818-833-3066
Mrs. June Noelle Garcia, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 12737 Glenoaks Blvd Ste 26, Sylmar, CA 91342 Phone: 818-362-1758
Mr. Wilfredo Lapuz Del Rosario, NURSE PRACTITIONER Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 14445 Olive View Drive, Sylmar, CA 91342 Phone: 818-364-3107
Ms. Diana Grace Reyes De Leon, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 12376 Twilight Ave, Sylmar, CA 91342 Phone: 818-648-0248
Penny Yen Luc, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 14445 Olive View Dr, Olive View Ucla Medical Center, Sylmar, CA 91342 Phone: 818-364-3788

Jacqueline Gonzalez, NP - Medicare Nurse Practitioner in Sylmar, CA