Miss Herminia Isabel Fuentes, is a medicare enrolled "Social Worker - Clinical" provider in Santa Clara, California. Her current practice location is
3490 The Alameda, Santa Clara, California. You can reach out to her office (for appointments etc.) via phone at
(408) 243-0222.
Miss Herminia Isabel Fuentes is licensed to practice in California (license number ASW 33606) 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 1396054235.
Healthcare Provider's Profile
Full Name | Miss Herminia Isabel Fuentes |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 3490 The Alameda, Santa Clara, 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: 1396054235
- Provider Enumeration Date: 09/27/2010
- Last Update Date: 03/28/2016
Medicare PECOS Information:
- PECOS PAC ID: 8527320506
- Enrollment ID: I20180403002191
Medical Identifiers
Medical identifiers for Miss Herminia Isabel Fuentes such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1396054235 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | ASW 33606 (California) | Secondary |
1041C0700X | Social Worker - Clinical | ASW 33606 (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. Miss Herminia Isabel Fuentes allows following entities to bill medicare on her behalf.
Entity Name | St Johns Community Health |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1073653630 PECOS PAC ID: 2961482690 Enrollment ID: O20040722001434 |
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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 Herminia Isabel Fuentes 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 |
Miss Herminia Isabel Fuentes, 3490 The Alameda, Santa Clara, CA 95050-4333 Ph: (408) 243-0222 | Miss Herminia Isabel Fuentes, 3490 The Alameda, Santa Clara, CA 95050-4333 Ph: (408) 243-0222 |
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