Jose Gonzalez, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Kenai, Alaska. His current practice location is
502 Lake St, Kenai, Alaska. You can reach out to his office (for appointments etc.) via phone at
(907) 600-1684.
Jose Gonzalez is licensed to practice in Alaska (license number 163569) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1871044743.
Healthcare Provider's Profile
| Full Name | Jose Gonzalez |
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| Gender | Male |
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| Speciality | Social Worker - Clinical |
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| Location | 502 Lake St, Kenai, Alaska |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1871044743
- Provider Enumeration Date: 10/17/2016
- Last Update Date: 10/30/2024
Medicare PECOS Information:
- PECOS PAC ID: 0345647640
- Enrollment ID: I20210929002905
Medical Identifiers
Medical identifiers for Jose Gonzalez such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1871044743 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | CSW.09927109 (Colorado) | Secondary |
| 1041C0700X | Social Worker - Clinical | 163569 (Alaska) | 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. Jose Gonzalez allows following entities to bill medicare on his behalf.
| Entity Name | Kenai Peninsula Mental Health Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1588135776
PECOS PAC ID: 7012311921
Enrollment ID: O20210813001078 |
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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. Jose 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 |
|---|
Jose Gonzalez, LCSW
39610 Ranch Place,
Kenai, AK 99611
Ph: (907) 600-1684 | Jose Gonzalez, LCSW
502 Lake St,
Kenai, AK 99611-6937
Ph: (907) 600-1684 |
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