Dr Manuel Anthony Carl Gonzalez, PSYD is a
Psychologist - Clinical based in Fort Bragg, North Carolina. Dr Manuel Anthony Carl Gonzalez is licensed to practice in Washington (license number PY 60414394) and his current practice location is
2817 Rock Merritt Avenue, Fort Bragg, North Carolina. He can be reached at his office (for appointments etc.) via phone at
(910) 907-8922.
NPI number for Dr Manuel Anthony Carl Gonzalez is 1164623005 and his current mailing address is 2817 Rock Merritt Avenue Womack Army Medical Center, Fort Bragg, North Carolina. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1164623005.
Healthcare Provider's Profile
| Full Name | Dr Manuel Anthony Carl Gonzalez |
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| Gender | Male |
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| Speciality | Psychologist - Clinical |
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| Location | 2817 Rock Merritt Avenue, Fort Bragg, North Carolina |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1164623005
- Provider Enumeration Date: 05/29/2007
- Last Update Date: 03/25/2025
Medical Identifiers
Medical identifiers for Dr Manuel Anthony Carl Gonzalez such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1164623005 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 103T00000X | Psychologist | 0810006462 (Virginia) | Secondary |
| 103TC0700X | Psychologist - Clinical | PY 60414394 (Washington) | Primary |
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. Dr Manuel Anthony Carl Gonzalez is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Manuel Anthony Carl Gonzalez, PSYD
2817 Rock Merritt Avenue Womack Army Medical Center,
Fort Bragg, NC 28310-0001
Ph: (910) 907-8922 | Dr Manuel Anthony Carl Gonzalez, PSYD
2817 Rock Merritt Avenue,
Fort Bragg, NC 28310-2229
Ph: (910) 907-8922 |
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