Jerad Hernandez, MSW, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Marion, Illinois. His current practice location is
202 S Bentley St, Marion, Illinois. You can reach out to his office (for appointments etc.) via phone at
(855) 608-3560.
Jerad Hernandez is licensed to practice in Illinois (license number 149025489) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1053904144.
Healthcare Provider's Profile
| Full Name | Jerad Hernandez |
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| Gender | Male |
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| Speciality | Social Worker - Clinical |
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| Location | 202 S Bentley St, Marion, Illinois |
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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: 1053904144
- Provider Enumeration Date: 02/19/2021
- Last Update Date: 04/19/2023
Medicare PECOS Information:
- PECOS PAC ID: 4981069507
- Enrollment ID: I20230503000980
Medical Identifiers
Medical identifiers for Jerad Hernandez such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1053904144 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 37295 (Illinois) | Secondary |
| 1041C0700X | Social Worker - Clinical | 149025489 (Illinois) | 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. Jerad Hernandez allows following entities to bill medicare on his behalf.
| Entity Name | Centerstone Of Illinois Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1053455667
PECOS PAC ID: 2961545173
Enrollment ID: O20100209000763 |
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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. Jerad 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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Jerad Hernandez, MSW, LCSW
902 W Main St,
West Frankfort, IL 62896-2210
Ph: (618) 937-6483 | Jerad Hernandez, MSW, LCSW
202 S Bentley St,
Marion, IL 62959-1908
Ph: (855) 608-3560 |
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