Amber Gonzales, LCSW in South Bend, IN - Medicare Social Worker Provider

Amber Gonzales, LCSW is a medicare enrolled "Social Worker - Clinical" provider in South Bend, Indiana. Her current practice location is 1901 W Western Ave Ste B, South Bend, Indiana. You can reach out to her office (for appointments etc.) via phone at (574) 234-9033.

Amber Gonzales is licensed to practice in Indiana (license number 34011088A) 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 1922730787.

Contact Information

	Amber Gonzales, LCSW
	1901 W Western Ave Ste B, South Bend, IN 46619-3570
	(574) 234-9033
	(574) 847-7200

Map and Direction

Healthcare Provider's Profile

Full Name	Amber Gonzales
Gender	Female
Speciality	Social Worker - Clinical
Location	1901 W Western Ave Ste B, South Bend, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1922730787
Provider Enumeration Date: 06/29/2022
Last Update Date: 06/07/2024

Medicare PECOS Information:

PECOS PAC ID: 2769925775
Enrollment ID: I20240619000180

Medical Identifiers

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

Identifier	Type	State	Issuer
1922730787	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	34011088A (Indiana)	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. Amber Gonzales allows following entities to bill medicare on her behalf.

Entity Name	Indiana Health Centers Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1598776742 PECOS PAC ID: 3971599473 Enrollment ID: O20040430001159

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. Amber 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
Amber Gonzales, LCSW 8003 Castleway Dr, Indianapolis, IN 46250-1946 Ph: (317) 576-1335	Amber Gonzales, LCSW 1901 W Western Ave Ste B, South Bend, IN 46619-3570 Ph: (574) 234-9033

Reviews and Comments

Social Worker in South Bend, IN

Mrs. Kathy James, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 611 Lincolnway E, South Bend, IN 46601 Phone: 574-232-2255 Fax: 574-232-8968
Cheryl Quiogue-hunt, LSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 403 E Madison St, South Bend, IN 46617 Phone: 574-283-1107 Fax: 574-283-1161
Deborah Helen Miller, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 108 N Main St, Suite 305, South Bend, IN 46601 Phone: 574-234-3515 Fax: 574-234-3565
Faye Peterson-pottinger, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 403 E Madison St, South Bend, IN 46617 Phone: 574-283-1107 Fax: 574-283-1131
Mrs. Olivia George, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 53846 Generations Dr Ste A, South Bend, IN 46635 Phone: 574-276-7366
Mark V Snell, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 403 E Madison St, South Bend, IN 46617 Phone: 574-533-1234 Fax: 574-537-2652
Sarah A Pinter, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 403 E Madison St, South Bend, IN 46617 Phone: 574-283-1107 Fax: 574-283-1131

Amber Gonzales, LCSW - Medicare Clinical Social Worker in South Bend, IN