Michael Jose Gonzales, DPT in Marina Del Rey, CA - Medicare Physical Therapist In Private Practice Provider

Michael Jose Gonzales, DPT is a medicare enrolled "Physical Therapist - Orthopedic" provider in Marina Del Rey, California. He graduated from medical school in 2019 and has 6 years of diverse experience with area of expertise as Physical Therapist In Private Practice. He is a member of the group practice Proformance Physical Therapy And Rehabilitation, Inc., California Luna Care Physical Therapy Pc and his current practice location is 4640 Admiralty Way Ste 420, Marina Del Rey, California. You can reach out to his office (for appointments etc.) via phone at (424) 526-5151.

Michael Jose Gonzales is licensed to practice in California (license number 296722) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1285296657.

Contact Information

	Michael Jose Gonzales, DPT
	4640 Admiralty Way Ste 420, Marina Del Rey, CA 90292-6617
	(424) 526-5151
	(424) 835-6475

Map and Direction

Healthcare Provider's Profile

Full Name	Michael Jose Gonzales
Gender	Male
Speciality	Physical Therapist In Private Practice
Experience	6 Years
Location	4640 Admiralty Way Ste 420, Marina Del Rey, California
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Michael Jose Gonzales graduated from medical school in 2019

NPI Data:

NPI Number: 1285296657
Provider Enumeration Date: 07/05/2019
Last Update Date: 07/05/2019

Medicare PECOS Information:

PECOS PAC ID: 6608201710
Enrollment ID: I20200120000440

Medical Identifiers

Medical identifiers for Michael Jose Gonzales such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1285296657	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2251X0800X	Physical Therapist - Orthopedic	296722 (California)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Proformance Physical Therapy And Rehabilitation, Inc.	2062306509	5
California Luna Care Physical Therapy Pc	9638427834	626

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. Michael Jose Gonzales allows following entities to bill medicare on his behalf.

Provider Name	Proformance Physical Therapy And Rehabilitation, Inc.
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1538166079 PECOS PAC ID: 2062306509 Enrollment ID: O20040213000412

Provider Name	California Luna Care Physical Therapy Pc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1689162166 PECOS PAC ID: 9638427834 Enrollment ID: O20180803002123

Provider Name	Feld Care Therapy Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1770069338 PECOS PAC ID: 6507101359 Enrollment ID: O20181222000200

Provider Name	Shasta Health Physical Therapy Pc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1063292241 PECOS PAC ID: 1951750652 Enrollment ID: O20231206002878

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. Michael Jose 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
Michael Jose Gonzales, DPT 14153 Victory Blvd Apt 212, Van Nuys, CA 91401-1941 Ph: (847) 736-5183	Michael Jose Gonzales, DPT 4640 Admiralty Way Ste 420, Marina Del Rey, CA 90292-6617 Ph: (424) 526-5151

Reviews and Comments

Physical Therapist in Marina Del Rey, CA

Eva Nemeth, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4601 Lincoln Blvd, Marina Del Rey, CA 90292 Phone: 310-306-1478 Fax: 310-306-6008
Destiny Thompson, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4560 Admiralty Way Ste 300, Marina Del Rey, CA 90292 Phone: 310-273-0877
Dr. Krysta Iola Caingcoy, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 4820 Lincoln Blvd, Marina Del Rey, CA 90292 Phone: 310-822-0041 Fax: 310-822-0049
Andrea Mathieux, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4820 Lincoln Blvd, Marina Del Rey, CA 90292 Phone: 310-392-7889 Fax: 310-822-0049
Laurie Hubbard, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4702 Lincoln Blvd, Marina Del Rey, CA 90292 Phone: 310-306-1478 Fax: 310-306-6008
Faye Gaitens, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4601 Lincoln Blvd, Marina Del Rey, CA 90292 Phone: 310-306-1478 Fax: 310-306-6008
Frances B Gramaje, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4702 Lincoln Blvd, Marina Del Rey, CA 90292 Phone: 310-306-1478 Fax: 310-306-6008

Michael Jose Gonzales, DPT - Medicare Physical Therapist in Marina Del Rey, CA