Mario J Gonzales, OD in Hercules, CA - Medicare Optometrist Provider

Mario J Gonzales, OD is a medicare enrolled "Optometrist" provider in Hercules, California. His current practice location is 1369 Sycamore Ave, Hercules, California. You can reach out to his office (for appointments etc.) via phone at (510) 592-1630.

Mario J Gonzales is licensed to practice in California (license number 10797) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1427014166.

Contact Information

	Mario J Gonzales, OD
	1369 Sycamore Ave, Hercules, CA 94547-5489
	(510) 592-1630
	(510) 724-0202

Map and Direction

Healthcare Provider's Profile

Full Name	Mario J Gonzales
Gender	Male
Speciality	Optometrist
Location	1369 Sycamore Ave, Hercules, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1427014166
Provider Enumeration Date: 04/21/2006
Last Update Date: 01/03/2022

Medicare PECOS Information:

PECOS PAC ID: 2860577046
Enrollment ID: I20080312000292

Medical Identifiers

Medical identifiers for Mario J Gonzales such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1427014166	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	473 (New Mexico)	Secondary
152W00000X	Optometrist	10797 (California)	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. Mario J Gonzales allows following entities to bill medicare on his behalf.

Provider Name	Permanente Medical Group Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710

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. Mario J 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
Mario J Gonzales, OD 1369 Sycamore Ave, Hercules, CA 94547-5489 Ph: (510) 592-1630	Mario J Gonzales, OD 1369 Sycamore Ave, Hercules, CA 94547-5489 Ph: (510) 592-1630

Reviews and Comments

Optometrist in Hercules, CA

Darren Ng Od Inc Optometrist Medicare: Medicare Enrolled Practice Location: 3700 San Pablo Ave, Ste. 5, Hercules, CA 94547 Phone: 510-741-9900 Fax: 510-741-9910
Garrett Tyler Milner, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1581 Sycamore Ave, Suite 10, Hercules, CA 94547 Phone: 510-799-7380
Dr. Tam-an Nguyen, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 3700 San Pablo Ave, Ste B5, Hercules, CA 94547 Phone: 510-741-9900 Fax: 510-741-9910
Elizabeth Shipman, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 3700 San Pablo Ave, Unit 5, Hercules, CA 94547 Phone: 510-741-9900
S. Gabriel Respicio, O.d. A Professional Corporation Optometrist Medicare: Not Enrolled in Medicare Practice Location: 500 Alfred Nobel Dr, Suite 117, Hercules, CA 94547 Phone: 510-724-3937 Fax: 510-724-3944
Dr. Darren Jonathan Ng, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 3700 San Pablo Ave, Suite B5, Hercules, CA 94547 Phone: 510-741-9900
Dung Optometric Group Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1581 Sycamore Ave, Suite 10, Hercules, CA 94547 Phone: 510-799-7380 Fax: 510-799-7734

Mario J Gonzales, OD - Medicare Optometrist in Hercules, CA