Miss Leticia Jimenez Perez, in Glendora, CA - Medicare Counselor Provider

Miss Leticia Jimenez Perez, is a medicare enrolled "Counselor - Mental Health" provider in Glendora, California. Her current practice location is 1160 S Grand Ave, Glendora, California. You can reach out to her office (for appointments etc.) via phone at (626) 335-5980.

Miss Leticia Jimenez Perez is licensed to practice in California (license number ASW81591) 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 1477702793.

Contact Information

	Miss Leticia Jimenez Perez,
	1160 S Grand Ave, Glendora, CA 91740-5000
	(626) 335-5980
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Miss Leticia Jimenez Perez
Gender	Female
Speciality	Counselor - Mental Health
Location	1160 S Grand Ave, Glendora, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1477702793
Provider Enumeration Date: 09/10/2008
Last Update Date: 09/26/2023

Medicare PECOS Information:

PECOS PAC ID: 3779946173
Enrollment ID: I20230901001262

Medical Identifiers

Medical identifiers for Miss Leticia Jimenez Perez such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1477702793	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	ASW81591 (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 Leticia Jimenez Perez allows following entities to bill medicare on her behalf.

Entity Name	Southern California Permanente Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1316979834 PECOS PAC ID: 6002729175 Enrollment ID: O20040126000823

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 Leticia Jimenez Perez 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 Leticia Jimenez Perez, 6475 Via Del Rancho, Chino Hills, CA 91709-3921 Ph: (714) 351-9217	Miss Leticia Jimenez Perez, 1160 S Grand Ave, Glendora, CA 91740-5000 Ph: (626) 335-5980

Reviews and Comments

Counselor in Glendora, CA

Janine Esparza, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1505 Sunflower Ave, Glendora, CA 91740 Phone: 626-335-8153 Fax: 626-963-0028
Mrs. Linda M Miles, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1160 S Grand Ave, Glendora, CA 91740 Phone: 626-335-5980
Mrs. Elsa Yolanda Willard, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1160 S Grand Ave, Glendora, CA 91740 Phone: 626-335-5980
Mrs. Jacqueline Cara Plante, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1160 S Grand Ave, Glendora, CA 91740 Phone: 626-335-5980
Kelly Miltenberger, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 537 N Pennsylvania Ave, Glendora, CA 91741 Phone: 626-833-7752
Carolina Perez, LCSW Counselor Medicare: Medicare Enrolled Practice Location: 1160 S Grand Ave, Glendora, CA 91740 Phone: 626-335-5980
Edgar Rico, Counselor Medicare: Medicare Enrolled Practice Location: 1160 S Grand Ave, Glendora, CA 91740 Phone: 626-335-5980 Fax: 626-335-5989

Miss Leticia Jimenez Perez, - Medicare Counselor in Glendora, CA