Taizsa Gonzalez, is a medicare enrolled "Social Worker - Clinical" provider in Ringgold, Georgia. She graduated from healthcare school in 2014 and has 11 years of diverse experience with area of expertise as Mental Health Counselor. She is a member of the group practice Sondermind Provider Network Llc, Sondermind Provider Network Llc and her current practice location is
1780 Windstone Dr, Ringgold, Georgia. You can reach out to her office (for appointments etc.) via phone at
(706) 715-9622.
Taizsa Gonzalez is licensed to practice in Georgia (license number CSW009148) 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 1356184279.
Healthcare Provider's Profile
| Full Name | Taizsa Gonzalez |
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| Gender | Female |
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| Speciality | Mental Health Counselor |
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| Experience | 11 Years |
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| Location | 1780 Windstone Dr, Ringgold, Georgia |
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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. |
Medical Education and Training:
- Taizsa Gonzalez graduated from medical school in 2014
NPI Data:
- NPI Number: 1356184279
- Provider Enumeration Date: 06/18/2024
- Last Update Date: 06/18/2024
Medicare PECOS Information:
- PECOS PAC ID: 4981130051
- Enrollment ID: I20241212001702
Medical Identifiers
Medical identifiers for Taizsa Gonzalez such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1356184279 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101YM0800X | Counselor - Mental Health | 3612 (Nebraska) | Secondary |
| 1041C0700X | Social Worker - Clinical | CSW009148 (Georgia) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Sondermind Provider Network Llc | 9537572490 | 874 |
| Sondermind Provider Network Llc | 9537572490 | 874 |
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. Taizsa Gonzalez allows following entities to bill medicare on her behalf.
| Entity Name | Sondermind Provider Network Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1760854442 PECOS PAC ID: 9537572490 Enrollment ID: O20240815003982 |
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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. Taizsa 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 |
Taizsa Gonzalez, 1780 Windstone Dr, Ringgold, GA 30736-4154 Ph: (706) 715-9622 | Taizsa Gonzalez, 1780 Windstone Dr, Ringgold, GA 30736-4154 Ph: (706) 715-9622 |
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