Gina Hernandez, is a medicare enrolled "Psychologist - Clinical" provider in Riverside, California. Her current practice location is
3380 La Sierra Ave Ste 104-142, Riverside, California. You can reach out to her office (for appointments etc.) via phone at
(818) 331-6961.
Gina Hernandez is licensed to practice in California (license number 94028528) 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 1740691757.
Healthcare Provider's Profile
| Full Name | Gina Hernandez |
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| Gender | Female |
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| Speciality | Psychologist - Clinical |
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| Location | 3380 La Sierra Ave Ste 104-142, Riverside, 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: 1740691757
- Provider Enumeration Date: 05/13/2014
- Last Update Date: 11/04/2024
Medicare PECOS Information:
- PECOS PAC ID: 6204367055
- Enrollment ID: I20241003001591
Medical Identifiers
Medical identifiers for Gina Hernandez such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1740691757 | NPI | - | NPPES |
| 01536011 | Other | CA | MEDI-CAL |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 103TC0700X | Psychologist - Clinical | 94028528 (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. Gina Hernandez allows following entities to bill medicare on her behalf.
| Entity Name | Pure Autism Counseling Center Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1649737735
PECOS PAC ID: 4284967167
Enrollment ID: O20190607001200 |
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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. Gina Hernandez 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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Gina Hernandez,
3380 La Sierra Ave Ste 104-142,
Riverside, CA 92503-5271
Ph: (818) 331-6961 | Gina Hernandez,
3380 La Sierra Ave Ste 104-142,
Riverside, CA 92503-5271
Ph: (818) 331-6961 |
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