Jalisa Monique Banks, in Mountain View, CA - Medicare Social Worker Provider

Jalisa Monique Banks, is a medicare enrolled "Social Worker - Clinical" provider in Mountain View, California. Her current practice location is 990 Villa St, Mountain View, California. You can reach out to her office (for appointments etc.) via phone at (000) 000-0000.

Jalisa Monique Banks is licensed to practice in * (Not Available) (license number LC2000030) 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 1154088516.

Contact Information

	Jalisa Monique Banks,
	990 Villa St, Mountain View, CA 94041-1236
	(000) 000-0000
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Jalisa Monique Banks
Gender	Female
Speciality	Social Worker - Clinical
Location	990 Villa St, Mountain View, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1154088516
Provider Enumeration Date: 11/19/2021
Last Update Date: 03/13/2023

Medicare PECOS Information:

PECOS PAC ID: 8628431434
Enrollment ID: I20230828000712

Medical Identifiers

Medical identifiers for Jalisa Monique Banks such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1154088516	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	LC2000030 (* (Not Available))	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. Jalisa Monique Banks allows following entities to bill medicare on her behalf.

Entity Name	Childrens Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1912939703 PECOS PAC ID: 0244143170 Enrollment ID: O20031107000130

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. Jalisa Monique Banks 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
Jalisa Monique Banks, 990 Villa St, Mountain View, CA 94041-1236 Ph: () -	Jalisa Monique Banks, 990 Villa St, Mountain View, CA 94041-1236 Ph: (000) 000-0000

Reviews and Comments

Social Worker in Mountain View, CA

Aneka Spencer, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 990 Villa St Mountain View, Mountain View, CA 94041 Phone: 708-368-5820
Mackenzie Lee, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 990 Villa St, Mountain View, CA 94041 Phone: 888-688-9296
Mrs. Kathleen Anne Horman, LCSW-C Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 990 Villa Street, Mountain View, CA 94041 Phone: 443-852-2195
Dunia Kassay, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 990 Villa St, Mountain View, CA 94041 Phone: 888-688-9296
Jenny Do, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 100 N Whisman Rd Apt 2924, Mountain View, CA 94043 Phone: 408-930-8663
Hwai Po Pauline Loh, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2685 Marine Way Ste 1220, Mountain View, CA 94043 Phone: 650-206-7172

Jalisa Monique Banks, - Medicare Clinical Social Worker in Mountain View, CA