Jaelah Mendez, LCSW is a medicare enrolled "Counselor - Mental Health" provider in Miami, Florida. Her current practice location is
10980 Nw 14th Ave Apt H101, Miami, Florida. You can reach out to her office (for appointments etc.) via phone at
(551) 697-8109.
Jaelah Mendez is licensed to practice in Florida (license number SW14654) 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 1952889974.
Healthcare Provider's Profile
| Full Name | Jaelah Mendez |
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| Gender | Female |
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| Speciality | Counselor - Mental Health |
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| Location | 10980 Nw 14th Ave Apt H101, Miami, Florida |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1952889974
- Provider Enumeration Date: 08/01/2018
- Last Update Date: 12/22/2022
Medicare PECOS Information:
- PECOS PAC ID: 4880932540
- Enrollment ID: I20190205003127
Medical Identifiers
Medical identifiers for Jaelah Mendez such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1952889974 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 1041C0700X | Social Worker - Clinical | SW14654 (Florida) | Secondary |
| 101YM0800X | Counselor - Mental Health | SW14654 (Florida) | 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. Jaelah Mendez allows following entities to bill medicare on her behalf.
| Entity Name | Mcr Health Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1255376000
PECOS PAC ID: 7214847995
Enrollment ID: O20040126000213 |
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| Entity Name | Blue Moon Senior Counseling |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1205129186
PECOS PAC ID: 6103099759
Enrollment ID: O20111027000391 |
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| Entity Name | Doctor On Demand Professionals P C |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1174931448
PECOS PAC ID: 9436464567
Enrollment ID: O20150818004696 |
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| Entity Name | Enlightened Mind Counseling Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1831862523
PECOS PAC ID: 7416328158
Enrollment ID: O20230117002539 |
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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. Jaelah Mendez 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 |
|---|
Jaelah Mendez, LCSW
10980 Nw 14th Ave Apt H101,
Miami, FL 33167-4079
Ph: (551) 697-8109 | Jaelah Mendez, LCSW
10980 Nw 14th Ave Apt H101,
Miami, FL 33167-4079
Ph: (551) 697-8109 |
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