Ms Amanda Jo Gonzalez, LCSW in Fort Wayne, IN - Medicare Clinical Social Worker Provider

Ms Amanda Jo Gonzalez, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Fort Wayne, Indiana. She graduated from medical school in 2014 and has 11 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Sondermind Provider Network Llc, Sondermind Provider Network Llc, Sondermind Provider Network Llc, Sondermind Pc and her current practice location is 230 W Main St, Fort Wayne, Indiana. You can reach out to her office (for appointments etc.) via phone at (260) 203-9185.

Ms Amanda Jo Gonzalez is licensed to practice in Indiana (license number 34007818A) and she also participates in the medicare program. She may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1225567480.

Contact Information

	Ms Amanda Jo Gonzalez, LCSW
	230 W Main St, Fort Wayne, IN 46802-1612
	(260) 203-9185
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Ms Amanda Jo Gonzalez
Gender	Female
Speciality	Clinical Social Worker
Experience	11 Years
Location	230 W Main St, Fort Wayne, Indiana
Accepts Medicare Assignments	May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Ms Amanda Jo Gonzalez graduated from medical school in 2014

NPI Data:

NPI Number: 1225567480
Provider Enumeration Date: 06/09/2017
Last Update Date: 06/09/2017

Medicare PECOS Information:

PECOS PAC ID: 1254702178
Enrollment ID: I20230131002881

Medical Identifiers

Medical identifiers for Ms Amanda Jo Gonzalez such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1225567480	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	34007818A (Indiana)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Sondermind Provider Network Llc	9537572490	874
Sondermind Provider Network Llc	9537572490	874
Sondermind Provider Network Llc	9537572490	874
Sondermind Pc	0547795791	14

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. Ms Amanda Jo Gonzalez allows following entities to bill medicare on her behalf.

Entity Name	Sondermind Provider Network Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1760854442 PECOS PAC ID: 9537572490 Enrollment ID: O20210416002216

Entity Name	Grow Healthcare Group Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20220510002320

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. Ms Amanda Jo 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
Ms Amanda Jo Gonzalez, LCSW 126 W Columbia St, Fort Wayne, IN 46802-1719 Ph: (260) 203-9185	Ms Amanda Jo Gonzalez, LCSW 230 W Main St, Fort Wayne, IN 46802-1612 Ph: (260) 203-9185

Reviews and Comments

Social Worker in Fort Wayne, IN

Alia Osborn, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6526 Hillsboro Ln, Fort Wayne, IN 46835 Phone: 260-494-2205
Nicholas Todoran, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1909 Carew St, Fort Wayne, IN 46805 Phone: 260-481-2800 Fax: 260-969-8442
Jeri Ann Forrest, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1818 Carew St, Suite 230, Fort Wayne, IN 46805 Phone: 260-373-8000 Fax: 260-373-8003
Rikki Lynn Treesh, MSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 4918 Canterbury Dr, Fort Wayne, IN 46835 Phone: 260-241-6191
Ms. Yvonne Smith, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3262 Mallard Cove Ln, Fort Wayne, IN 46804 Phone: 260-580-8508 Fax: 260-755-1451
Deborah Louise Amick, L.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 12333 Southampton Dr, Fort Wayne, IN 46814 Phone: 260-672-0491
Scott Kruse, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2121 Lake Ave, Fort Wayne, IN 46805 Phone: 260-426-5431 Fax: 260-421-1029

Ms Amanda Jo Gonzalez, LCSW - Medicare Clinical Social Worker in Fort Wayne, IN