Monique L Gore, LCSW in Green Bay, WI - Medicare Social Worker Provider

Monique L Gore, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Green Bay, Wisconsin. Her current practice location is 3158 Eaton Rd, Green Bay, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (920) 770-3319.

Monique L Gore is licensed to practice in Wisconsin (license number 7158-123) 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 1568452803.

Contact Information

	Monique L Gore, LCSW
	3158 Eaton Rd, Green Bay, WI 54311-6827
	(920) 770-3319
	(920) 600-0271

Map and Direction

Healthcare Provider's Profile

Full Name	Monique L Gore
Gender	Female
Speciality	Social Worker - Clinical
Location	3158 Eaton Rd, Green Bay, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1568452803
Provider Enumeration Date: 10/27/2005
Last Update Date: 11/11/2023

Medicare PECOS Information:

PECOS PAC ID: 1355353301
Enrollment ID: I20060613000059

Medical Identifiers

Medical identifiers for Monique L Gore such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1568452803	NPI	-	NPPES
43562500	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	7158-123 (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. Monique L Gore allows following entities to bill medicare on her behalf.

Entity Name	Oneida Nation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1740278308 PECOS PAC ID: 6800794074 Enrollment ID: O20031224000077

Entity Name	Phoenix Behavioral Health Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1871514778 PECOS PAC ID: 1456441153 Enrollment ID: O20071219000121

Entity Name	Solution Focused Counseling Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1104698760 PECOS PAC ID: 6406207380 Enrollment ID: O20240104001965

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. Monique L Gore 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
Monique L Gore, LCSW 3158 Eaton Rd, Green Bay, WI 54311-6827 Ph: (920) 819-3970	Monique L Gore, LCSW 3158 Eaton Rd, Green Bay, WI 54311-6827 Ph: (920) 770-3319

Reviews and Comments

Social Worker in Green Bay, WI

Holly Sage, MSW, APSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2851 University Ave, Green Bay, WI 54311 Phone: 920-431-2500
Jayne E Von Der Linden, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 300 Crooks St, Green Bay, WI 54301 Phone: 920-436-6800 Fax: 920-432-5966
Kavita Carlson, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 2680 Vernon Dr, Green Bay, WI 54304 Phone: 920-496-4700
Joseph David Hoelscher, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 760 Pilgrim Way, Green Bay, WI 54304 Phone: 920-496-4700 Fax: 920-496-4705
Shannon M Anderson, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1499 6th St, Green Bay, WI 54304 Phone: 920-497-6161 Fax: 888-974-5769
Lorelle Berglund, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1499 6th St, Green Bay, WI 54304 Phone: 920-497-6161 Fax: 888-974-5769
Joni Constance Delwiche, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 301 E Saint Joseph St, Green Bay, WI 54301 Phone: 920-433-6073

Monique L Gore, LCSW - Medicare Clinical Social Worker in Green Bay, WI