Dr Jennifer Lazarraga Del Mundo, is a medicare enrolled "Psychologist - Clinical" provider in Tustin, California. Her current practice location is
17621 Irvine Blvd Ste 216, Tustin, California. You can reach out to her office (for appointments etc.) via phone at
(714) 340-8279.
Dr Jennifer Lazarraga Del Mundo is licensed to practice in California (license number 29261) 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 1245426048.
Healthcare Provider's Profile
| Full Name | Dr Jennifer Lazarraga Del Mundo |
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| Gender | Female |
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| Speciality | Psychologist - Clinical |
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| Location | 17621 Irvine Blvd Ste 216, Tustin, 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: 1245426048
- Provider Enumeration Date: 09/14/2007
- Last Update Date: 07/21/2022
Medicare PECOS Information:
- PECOS PAC ID: 5799123808
- Enrollment ID: I20240409003144
Medical Identifiers
Medical identifiers for Dr Jennifer Lazarraga Del Mundo such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1245426048 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 106H00000X | Marriage & Family Therapist | 53993 (California) | Secondary |
| 103TC0700X | Psychologist - Clinical | 29261 (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. Dr Jennifer Lazarraga Del Mundo allows following entities to bill medicare on her behalf.
| Entity Name | Memory Check Psychological Services, A Professional Corporation |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1912184219
PECOS PAC ID: 7416856422
Enrollment ID: O20040107001021 |
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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. Dr Jennifer Lazarraga Del Mundo 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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Dr Jennifer Lazarraga Del Mundo,
3126 E Scotts Vw Unit D,
Orange, CA 92869-7571
Ph: (714) 340-8279 | Dr Jennifer Lazarraga Del Mundo,
17621 Irvine Blvd Ste 216,
Tustin, CA 92780-3131
Ph: (714) 340-8279 |
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