Miss Brenda Darlene Hernandez, LSCSW is a medicare enrolled "Social Worker - Clinical" provider in Dodge City, Kansas. Her current practice location is
2020 Central Ave, Dodge City, Kansas. You can reach out to her office (for appointments etc.) via phone at
(620) 227-9797.
Miss Brenda Darlene Hernandez is licensed to practice in Kansas (license number 06586) 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 1669133252.
Healthcare Provider's Profile
| Full Name | Miss Brenda Darlene Hernandez |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 2020 Central Ave, Dodge City, Kansas |
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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: 1669133252
- Provider Enumeration Date: 01/05/2022
- Last Update Date: 10/10/2024
Medicare PECOS Information:
- PECOS PAC ID: 7012440381
- Enrollment ID: I20241024002417
Medical Identifiers
Medical identifiers for Miss Brenda Darlene Hernandez such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1669133252 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 00919 (Kansas) | Secondary |
| 1041C0700X | Social Worker - Clinical | 06586 (Kansas) | 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. Miss Brenda Darlene Hernandez allows following entities to bill medicare on her behalf.
| Entity Name | United Methodist Western Kansas Mexican-american Ministries, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1104072487
PECOS PAC ID: 7416866124
Enrollment ID: O20151102000538 |
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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. Miss Brenda Darlene 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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Miss Brenda Darlene Hernandez, LSCSW
Po Box 766,
Garden City, KS 67846-0766
Ph: (620) 271-7400 | Miss Brenda Darlene Hernandez, LSCSW
2020 Central Ave,
Dodge City, KS 67801-6411
Ph: (620) 227-9797 |
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