Mrs Isabel Gonzalez Wongvalle, PSYD, LMHC, LMFT is a medicare enrolled "Psychologist - Clinical" provider in Miami, Florida. Her current practice location is
10691 N Kendall Dr Ste 105, Miami, Florida. You can reach out to her office (for appointments etc.) via phone at
(305) 668-6018.
Mrs Isabel Gonzalez Wongvalle is licensed to practice in Florida (license number PY10951) 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 1699016345.
Healthcare Provider's Profile
| Full Name | Mrs Isabel Gonzalez Wongvalle |
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| Gender | Female |
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| Speciality | Psychologist - Clinical |
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| Location | 10691 N Kendall Dr Ste 105, Miami, Florida |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1699016345
- Provider Enumeration Date: 03/05/2013
- Last Update Date: 12/10/2020
Medicare PECOS Information:
- PECOS PAC ID: 0244647113
- Enrollment ID: I20210322002138
Medical Identifiers
Medical identifiers for Mrs Isabel Gonzalez Wongvalle such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1699016345 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101YM0800X | Counselor - Mental Health | MH11662 (Florida) | Secondary |
| 106H00000X | Marriage & Family Therapist | MT2763 (Florida) | Secondary |
| 103TC0700X | Psychologist - Clinical | PY10951 (Florida) | 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. Mrs Isabel Gonzalez Wongvalle allows following entities to bill medicare on her behalf.
| Entity Name | Andres Cartaya Psy.d., P.a. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1669966321 PECOS PAC ID: 5597006403 Enrollment ID: O20190402002449 |
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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. Mrs Isabel Gonzalez Wongvalle 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 |
Mrs Isabel Gonzalez Wongvalle, PSYD, LMHC, LMFT 901 Ne 191st St, Miami, FL 33179-3969 Ph: (786) 426-9176 | Mrs Isabel Gonzalez Wongvalle, PSYD, LMHC, LMFT 10691 N Kendall Dr Ste 105, Miami, FL 33176-1596 Ph: (305) 668-6018 |
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