Jennifer Alfonso, is a medicare enrolled "Psychologist - Counseling" provider in Guaynabo, Puerto Rico. Her current practice location is
D6 Cll Ebano, Cond Parque De San Patricio, Guaynabo, Puerto Rico. You can reach out to her office (for appointments etc.) via phone at
(787) 914-1130.
Jennifer Alfonso is licensed to practice in Puerto Rico (license number 006316) 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 1508274986.
Healthcare Provider's Profile
| Full Name | Jennifer Alfonso |
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| Gender | Female |
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| Speciality | Psychologist - Counseling |
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| Location | D6 Cll Ebano, Guaynabo, Puerto Rico |
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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: 1508274986
- Provider Enumeration Date: 07/29/2014
- Last Update Date: 08/26/2019
Medicare PECOS Information:
- PECOS PAC ID: 4082057062
- Enrollment ID: I20240206004517
Medical Identifiers
Medical identifiers for Jennifer Alfonso such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1508274986 | NPI | - | NPPES |
| 1307576 | Medicaid | MA | |
| 1303295 | Medicaid | MA | |
| M18463 | Other | MA | BLUE CROSS BLUE SHIELD |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 103TC1900X | Psychologist - Counseling | 006316 (Puerto Rico) | 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. Jennifer Alfonso allows following entities to bill medicare on her behalf.
| Entity Name | Thriving Lane |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1376122515
PECOS PAC ID: 1355741083
Enrollment ID: O20230629001782 |
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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. Jennifer Alfonso 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 |
|---|
Jennifer Alfonso,
Urb. Altras Del Rio Calle 5 A11,
Bayamon, PR 00959
Ph: (787) 914-1130 | Jennifer Alfonso,
D6 Cll Ebano, Cond Parque De San Patricio,
Guaynabo, PR 00968
Ph: (787) 914-1130 |
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