Darlene Jeris, is a medicare enrolled "Social Worker - Clinical" provider in West Menlo Park, California. Her current practice location is
2140 Santa Cruz Ave Apt A102, West Menlo Park, California. You can reach out to her office (for appointments etc.) via phone at
(914) 419-4595.
Darlene Jeris is licensed to practice in California (license number 80490) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1801202221.
Healthcare Provider's Profile
Full Name | Darlene Jeris |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 2140 Santa Cruz Ave Apt A102, West Menlo Park, California |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1801202221
- Provider Enumeration Date: 07/07/2014
- Last Update Date: 07/30/2023
Medicare PECOS Information:
- PECOS PAC ID: 6800216326
- Enrollment ID: I20201021001392
Medical Identifiers
Medical identifiers for Darlene Jeris such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1801202221 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | 80490 (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. Darlene Jeris allows following entities to bill medicare on her behalf.
Entity Name | Blue Moon Senior Counseling Of California Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1447678990 PECOS PAC ID: 9335360981 Enrollment ID: O20141023000497 |
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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. Darlene Jeris 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 |
Darlene Jeris, Po Box 751, Bodega Bay, CA 94923-0751 Ph: (914) 419-4595 | Darlene Jeris, 2140 Santa Cruz Ave Apt A102, West Menlo Park, CA 94025-6331 Ph: (914) 419-4595 |
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