Lisa Rose Anne Gonzales, MS in Apple Valley, CA

Lisa Rose Anne Gonzales, MS is a medicare enrolled "Counselor - Professional" provider in Apple Valley, California. Her current practice location is 17800 Us Highway 18, Apple Valley, California. You can reach out to her office (for appointments etc.) via phone at (760) 242-3663.

Lisa Rose Anne Gonzales is licensed to practice in California (license number 9211) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1881945178.

Contact Information

	Lisa Rose Anne Gonzales, MS
	17800 Us Highway 18, Apple Valley, CA 92307
	(760) 242-3663
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Lisa Rose Anne Gonzales
Gender	Female
Speciality	Counselor - Professional
Location	17800 Us Highway 18, Apple Valley, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1881945178
Provider Enumeration Date: 09/26/2012
Last Update Date: 02/16/2021

Medicare PECOS Information:

PECOS PAC ID: 4284173972
Enrollment ID: I20240826003083

Medical Identifiers

Medical identifiers for Lisa Rose Anne Gonzales such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1881945178	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	6723 (California)	Secondary
101YP2500X	Counselor - Professional	9211 (California)	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. Lisa Rose Anne Gonzales allows following entities to bill medicare on her behalf.

Entity Name	Foresight Mental Health
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1902390537 PECOS PAC ID: 6103176219 Enrollment ID: O20180912000079

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. Lisa Rose Anne Gonzales 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
Lisa Rose Anne Gonzales, MS 17800 Us Highway 18, Apple Valley, CA 92307-1221 Ph: (760) 242-3663	Lisa Rose Anne Gonzales, MS 17800 Us Highway 18, Apple Valley, CA 92307 Ph: (760) 242-3663

Reviews and Comments

Counselor in Apple Valley, CA

Mrs. Brenda K. Lee Simon, AMFT Counselor Medicare: Not Enrolled in Medicare Practice Location: 18818 Outer Hwy 18, Apple Valley, CA 92307 Phone: 760-995-8868
Krystal Frausto, Counselor Medicare: Not Enrolled in Medicare Practice Location: 17800 Us Highway 18, Apple Valley, CA 92307 Phone: 760-946-8200 Fax: 760-242-1425
Charlene Carter, PPS-210070728 Counselor Medicare: Not Enrolled in Medicare Practice Location: 19445 Sitting Bull Rd, Apple Valley, CA 92308 Phone: 760-961-8479
Derek Hale, Counselor Medicare: Not Enrolled in Medicare Practice Location: 17800 Us Highway 18, Apple Valley, CA 92307 Phone: 760-552-6700
Brittany Ann Johnson-wolf, Counselor Medicare: Not Enrolled in Medicare Practice Location: 17800 Us Highway 18, Apple Valley, CA 92307 Phone: 760-955-3682 Fax: 760-955-3682
Ana Llamas, AMFT Counselor Medicare: Not Enrolled in Medicare Practice Location: 18818 Hwy 18, Apple Valley, CA 92307 Phone: 760-995-8813
Miss Jennifer Marie Smithson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 17800 Us Highway 18, Apple Valley, CA 92307 Phone: 760-955-3682 Fax: 760-242-1425

Lisa Rose Anne Gonzales, MS - Medicare Counselor in Apple Valley, CA