Jennifer M Gonzalez, LPN is a
Community Health Worker based in Berea, Ohio. Jennifer M Gonzalez is licensed to practice in * (Not Available) (license number ) and her current practice location is
202 E Bagley Rd, Berea, Ohio. She can be reached at her office (for appointments etc.) via phone at
(440) 260-8300.
NPI number for Jennifer M Gonzalez is 1578158408 and her current mailing address is 434 Eastland Rd, Berea, Ohio. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1578158408.
Provider's Profile
| Full Name | Jennifer M Gonzalez |
|---|
| Gender | Female |
|---|
| Speciality | Community Health Worker |
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| Location | 202 E Bagley Rd, Berea, Ohio |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1578158408
- Provider Enumeration Date: 03/03/2021
- Last Update Date: 07/09/2025
Medical Identifiers
Medical identifiers for Jennifer M Gonzalez such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1578158408 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 164W00000X | Licensed Practical Nurse | LPN.173181.MEDS-IV (Ohio) | Secondary |
| 172V00000X | Community Health Worker | (* (Not Available)) | Primary |
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. Jennifer M Gonzalez is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Jennifer M Gonzalez, LPN 434 Eastland Rd, Berea, OH 44017-1217 Ph: (440) 234-2006 | Jennifer M Gonzalez, LPN 202 E Bagley Rd, Berea, OH 44017-2058 Ph: (440) 260-8300 |
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