Gabriela Dieguez, is a medicare enrolled "Social Worker - Clinical" provider in Milwaukee, Wisconsin. She graduated from healthcare school in 2004 and has 21 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice 16th Street Community Health Center Inc. and her current practice location is
2906 S 20th St, Milwaukee, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(414) 672-1353.
Gabriela Dieguez is licensed to practice in Wisconsin (license number 7405-123) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1982889465.
Healthcare Provider's Profile
| Full Name | Gabriela Dieguez |
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| Gender | Female |
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| Speciality | Clinical Social Worker |
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| Experience | 21 Years |
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| Location | 2906 S 20th St, Milwaukee, Wisconsin |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Gabriela Dieguez graduated from medical school in 2004
NPI Data:
- NPI Number: 1982889465
- Provider Enumeration Date: 01/03/2008
- Last Update Date: 06/27/2023
Medicare PECOS Information:
- PECOS PAC ID: 1456521301
- Enrollment ID: I20110831000716
Medical Identifiers
Medical identifiers for Gabriela Dieguez such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1982889465 | NPI | - | NPPES |
| 43730300 | Medicaid | WI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YM0800X | Counselor - Mental Health | 7405-123 (Wisconsin) | Secondary |
| 1041C0700X | Social Worker - Clinical | 7405-123 (Wisconsin) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| 16th Street Community Health Center Inc. | 6709876857 | 80 |
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. Gabriela Dieguez allows following entities to bill medicare on her behalf.
| Entity Name | 16th Street Community Health Center Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1417912999
PECOS PAC ID: 6709876857
Enrollment ID: O20040512001352 |
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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. Gabriela Dieguez 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 |
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Gabriela Dieguez,
Po Box 778789,
Chicago, IL 60677-8789
Ph: (414) 672-1353 | Gabriela Dieguez,
2906 S 20th St,
Milwaukee, WI 53215-3732
Ph: (414) 672-1353 |
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