Herminio Gonzalez Jr, LCSW is a medicare enrolled "Counselor - Mental Health" provider in Los Angeles, California. His current practice location is
426 S San Pedro St, Los Angeles, California. You can reach out to his office (for appointments etc.) via phone at
(213) 633-2950.
Herminio Gonzalez Jr is licensed to practice in California (license number ASW72483) 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 1790187151.
Healthcare Provider's Profile
| Full Name | Herminio Gonzalez Jr |
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| Gender | Male |
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| Speciality | Counselor - Mental Health |
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| Location | 426 S San Pedro St, Los Angeles, California |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1790187151
- Provider Enumeration Date: 09/17/2014
- Last Update Date: 03/31/2021
Medicare PECOS Information:
- PECOS PAC ID: 0547681306
- Enrollment ID: I20200602002991
Medical Identifiers
Medical identifiers for Herminio Gonzalez Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1790187151 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 1041C0700X | Social Worker - Clinical | LCSW89355 (California) | Secondary |
| 101YM0800X | Counselor - Mental Health | ASW72483 (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. Herminio Gonzalez Jr allows following entities to bill medicare on his behalf.
| Entity Name | Los Angeles County Department Of Mental Health |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1083633929 PECOS PAC ID: 7416869896 Enrollment ID: O20031104000319 |
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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. Herminio Gonzalez Jr 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 |
Herminio Gonzalez Jr, LCSW 1720 E 120th St, Los Angeles, CA 90059-3052 Ph: (310) 668-4272 | Herminio Gonzalez Jr, LCSW 426 S San Pedro St, Los Angeles, CA 90013-2119 Ph: (213) 633-2950 |
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