Herlay Divine, LCSW is a medicare enrolled "Counselor - Mental Health" provider in Guasti, California. Her current practice location is
323 N Turner Ave Unit 1012, Guasti, California. You can reach out to her office (for appointments etc.) via phone at
(201) 456-4595.
Herlay Divine is licensed to practice in California (license number 121710) 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 1497228431.
Healthcare Provider's Profile
Full Name | Herlay Divine |
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Gender | Female |
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Speciality | Counselor - Mental Health |
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Location | 323 N Turner Ave Unit 1012, Guasti, California |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1497228431
- Provider Enumeration Date: 01/02/2019
- Last Update Date: 04/16/2024
Medicare PECOS Information:
- PECOS PAC ID: 2567996317
- Enrollment ID: I20241115001154
Medical Identifiers
Medical identifiers for Herlay Divine such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1497228431 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | 121710 (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. Herlay Divine allows following entities to bill medicare on her behalf.
Entity Name | Grow Healthcare Group Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1154994846 PECOS PAC ID: 1850774746 Enrollment ID: O20220809004080 |
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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. Herlay Divine 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 |
Herlay Divine, LCSW 323 N Turner Ave Unit 1012, Guasti, CA 91743-1603 Ph: (201) 456-4595 | Herlay Divine, LCSW 323 N Turner Ave Unit 1012, Guasti, CA 91743-1603 Ph: (201) 456-4595 |
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