Ernestine Passas, is a medicare enrolled "Social Worker - Clinical" provider in San Bernardino, California. Her current practice location is
1738 N Waterman Ave, San Bernardino, California. You can reach out to her office (for appointments etc.) via phone at
(909) 693-3302.
Ernestine Passas is licensed to practice in California (license number 105022) 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 1730636697.
Healthcare Provider's Profile
| Full Name | Ernestine Passas |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 1738 N Waterman Ave, San Bernardino, California |
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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: 1730636697
- Provider Enumeration Date: 09/07/2016
- Last Update Date: 08/02/2024
Medicare PECOS Information:
- PECOS PAC ID: 1254709702
- Enrollment ID: I20221115001477
Medical Identifiers
Medical identifiers for Ernestine Passas such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1730636697 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YM0800X | Counselor - Mental Health | (California) | Secondary |
| 104100000X | Social Worker | 105022 (California) | Secondary |
| 1041C0700X | Social Worker - Clinical | 105022 (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. Ernestine Passas allows following entities to bill medicare on her behalf.
| Entity Name | Mental Health Systems, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1760431670
PECOS PAC ID: 8628019320
Enrollment ID: O20050512000474 |
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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. Ernestine Passas 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 |
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Ernestine Passas,
1738 N Waterman Ave,
San Bernardino, CA 92404-5131
Ph: (909) 693-3302 | Ernestine Passas,
1738 N Waterman Ave,
San Bernardino, CA 92404-5131
Ph: (909) 693-3302 |
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