Mr Jorge A Duque, is a medicare enrolled "Social Worker - Clinical" provider in Santa Cruz, California. His current practice location is
1080 Emeline Ave, Santa Cruz, California. You can reach out to his office (for appointments etc.) via phone at
(831) 454-4100.
Mr Jorge A Duque is licensed to practice in California (license number 65726) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1962671800.
Healthcare Provider's Profile
| Full Name | Mr Jorge A Duque |
|---|
| Gender | Male |
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| Speciality | |
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| Experience | Years |
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| Location | 1080 Emeline Ave, Santa Cruz, California |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Mr Jorge A Duque attended and graduated from in
NPI Data:
- NPI Number: 1962671800
- Provider Enumeration Date: 02/25/2008
- Last Update Date: 05/11/2017
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Mr Jorge A Duque such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1962671800 | NPI | - | NPPES |
| ZZZ91892Z | Other | CA | MEDICARE SITE GROUP PTAN# SANTA CRUZ COUNTY CA |
| ZZZ92069Z | Other | CA | MEDICARE SITE GROUP PTAN# SANTA CRUZ COUNTY CA |
| ZZZ91891Z | Other | CA | MEDICARE SITE GROUP PTAN# SANTA CRUZ COUNTY CA |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | 65726 (California) | Primary |
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. Mr Jorge A Duque 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 |
|---|
Mr Jorge A Duque,
Po Box 962,
Santa Cruz, CA 95061-0962
Ph: (831) 454-4170 | Mr Jorge A Duque,
1080 Emeline Ave,
Santa Cruz, CA 95060-1966
Ph: (831) 454-4100 |
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