| Ignacio Fabian Gonzales, MS | |
|
1550 S Pioneer Way Ste 165, Moses Lake, WA 98837-4637 | |
| (509) 793-9780 | |
| (509) 764-3246 |
| Full Name | Ignacio Fabian Gonzales |
|---|---|
| Gender | Male |
| Speciality | Mental Health Counselor |
| Experience | 21 Years |
| Location | 1550 S Pioneer Way Ste 165, Moses Lake, Washington |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093742595 | NPI | - | NPPES |
| 2124122 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | RC00054597 (Washington) | Secondary |
| 101YM0800X | Counselor - Mental Health | LH60063586 (Washington) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Grant County Public Hospital District 1 | 9931095692 | 81 |
| Entity Name | Grant County Public Hospital District 1 |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619086766 PECOS PAC ID: 9931095692 Enrollment ID: O20040227000602 |
| Mailing Address | Practice Location Address |
|---|---|
| Ignacio Fabian Gonzales, MS 660 S Coolidge St, Moses Lake, WA 98837-1872 Ph: (509) 793-9715 | Ignacio Fabian Gonzales, MS 1550 S Pioneer Way Ste 165, Moses Lake, WA 98837-4637 Ph: (509) 793-9780 |
Marisol Gonzalez, Counselor Medicare: Not Enrolled in Medicare Practice Location: 840 E Plum St, Moses Lake, WA 98837 Phone: 095-707-9264 | |
Jonathan Angel Vargas, PSS, AAR Counselor Medicare: Not Enrolled in Medicare Practice Location: 840 E Plum St, Moses Lake, WA 98837 Phone: 509-765-9239 | |
Pegi Mueller, BA Counselor Medicare: Not Enrolled in Medicare Practice Location: 840 E Plum St, Moses Lake, WA 98837 Phone: 509-765-9239 Fax: 509-765-1582 | |
Tiffany Deleon, AA Counselor Medicare: Not Enrolled in Medicare Practice Location: 840 E Plum St, Moses Lake, WA 98837 Phone: 509-765-9239 Fax: 509-765-4124 | |
Decorah Curren, BS Counselor Medicare: Not Enrolled in Medicare Practice Location: 840 E Plum, Moses Lake, WA 98837 Phone: 509-765-9239 Fax: 509-765-1582 | |
Kayleen Elizabeth Simpson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 840 E Plum St, Moses Lake, WA 98837 Phone: 860-986-9998 | |
Jasmine Rincon Arroyo, Counselor Medicare: Not Enrolled in Medicare Practice Location: 840 E Plum St, Moses Lake, WA 98837 Phone: 509-765-9239 |