Genisis Corazon Hernandez, is a
Community Health Worker based in Campbell, California. Genisis Corazon Hernandez is licensed to practice in * (Not Available) (license number ) and her current practice location is
251 Llewellyn Ave, Campbell, California. She can be reached at her office (for appointments etc.) via phone at
(408) 379-3790.
NPI number for Genisis Corazon Hernandez is 1508405762 and her current mailing address is 1510 Fashion Island Blvd Ste 310, San Mateo, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1508405762.
Healthcare Provider's Profile
| Full Name | Genisis Corazon Hernandez |
|---|
| Gender | Female |
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| Speciality | Community Health Worker |
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| Location | 251 Llewellyn Ave, Campbell, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1508405762
- Provider Enumeration Date: 01/04/2020
- Last Update Date: 05/16/2023
Medical Identifiers
Medical identifiers for Genisis Corazon Hernandez such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1508405762 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 171M00000X | Case Manager/care Coordinator | (* (Not Available)) | Secondary |
| 172V00000X | Community Health Worker | (* (Not Available)) | Primary |
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. Genisis Corazon Hernandez is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Genisis Corazon Hernandez,
1510 Fashion Island Blvd Ste 310,
San Mateo, CA 94404-1587
Ph: (650) 832-6900 | Genisis Corazon Hernandez,
251 Llewellyn Ave,
Campbell, CA 95008-1940
Ph: (408) 379-3790 |
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