Theresita Gonzalez, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Mission Viejo, California. She graduated from healthcare school in 2018 and has 8 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Carative Psychiatry Nursing Corporation and her current practice location is
25910 Acero Ste 160, Mission Viejo, California. You can reach out to her office (for appointments etc.) via phone at
(909) 790-1300.
Theresita Gonzalez is licensed to practice in California (license number 110098) 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 1790244325.
Healthcare Provider's Profile
| Full Name | Theresita Gonzalez |
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| Gender | Female |
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| Speciality | Clinical Social Worker |
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| Experience | 8 Years |
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| Location | 25910 Acero Ste 160, Mission Viejo, California |
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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:
- Theresita Gonzalez graduated from medical school in 2018
NPI Data:
- NPI Number: 1790244325
- Provider Enumeration Date: 03/13/2019
- Last Update Date: 06/28/2023
Medicare PECOS Information:
- PECOS PAC ID: 0840645495
- Enrollment ID: I20231017001695
Medical Identifiers
Medical identifiers for Theresita Gonzalez such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1790244325 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YM0800X | Counselor - Mental Health | 86559 (California) | Secondary |
| 104100000X | Social Worker | 86559 (California) | Secondary |
| 1041C0700X | Social Worker - Clinical | 110098 (California) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Carative Psychiatry Nursing Corporation | 8628510310 | 13 |
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. Theresita Gonzalez allows following entities to bill medicare on her behalf.
| Entity Name | Southern California Permanente Medical Group |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1316979834
PECOS PAC ID: 6002729175
Enrollment ID: O20040126000823 |
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| Entity Name | Carative Psychiatry Nursing Corporation |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1194478735
PECOS PAC ID: 8628510310
Enrollment ID: O20240610002372 |
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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. Theresita 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 |
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Theresita Gonzalez, LCSW
25910 Acero Ste 160,
Mission Viejo, CA 92691-2777
Ph: (909) 790-1300 | Theresita Gonzalez, LCSW
25910 Acero Ste 160,
Mission Viejo, CA 92691-2777
Ph: (909) 790-1300 |
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