Shannon Gonzales, CNM is a medicare enrolled "Advanced Practice Midwife" in Alamosa, Colorado. She graduated from nursing school in 2012 and has 14 years of diverse experience with area of expertise as Certified Nurse Midwife (cnm). She is a member of the group practice Lutheran Hospital Association Of The San Luis Valley and her current practice location is
106 Blanca Ave, Alamosa, Colorado. You can reach out to her office (for appointments etc.) via phone at
(719) 589-8082.
Shannon Gonzales is licensed to practice in Colorado (license number 990648) 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 1902146327.
Provider's Profile
| Full Name | Shannon Gonzales |
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| Gender | Female |
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| Speciality | Certified Nurse Midwife (cnm) |
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| Experience | 14 Years |
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| Location | 106 Blanca Ave, Alamosa, Colorado |
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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:
- Shannon Gonzales graduated from nursing school in 2012
NPI Data:
- NPI Number: 1902146327
- Provider Enumeration Date: 02/21/2013
- Last Update Date: 02/21/2013
Medicare PECOS Information:
- PECOS PAC ID: 8628214731
- Enrollment ID: I20130416000428
Medical Identifiers
Medical identifiers for Shannon Gonzales such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1902146327 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 367A00000X | Advanced Practice Midwife | 990648 (Colorado) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Lutheran Hospital Association Of The San Luis Valley | 4789589094 | 107 |
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. Shannon Gonzales allows following entities to bill medicare on her behalf.
| Entity Name | Lutheran Hospital Association Of The San Luis Valley |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1235181744
PECOS PAC ID: 4789589094
Enrollment ID: O20031201000318 |
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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. Shannon 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 |
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Shannon Gonzales, CNM
106 Blanca Ave,
Alamosa, CO 81101-2340
Ph: (719) 587-1417 | Shannon Gonzales, CNM
106 Blanca Ave,
Alamosa, CO 81101-2340
Ph: (719) 589-8082 |
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