Mrs Teresa Sims, LCSW is a medicare enrolled "Social Worker - Clinical" provider in San Jose, California. Her current practice location is
160 E Virginia St, Suite 280, San Jose, California. You can reach out to her office (for appointments etc.) via phone at
(408) 287-6200.
Mrs Teresa Sims is licensed to practice in California (license number 65548) 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 1699082784.
Healthcare Provider's Profile
| Full Name | Mrs Teresa Sims |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 160 E Virginia St, San Jose, California |
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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: 1699082784
- Provider Enumeration Date: 09/10/2010
- Last Update Date: 02/14/2023
Medicare PECOS Information:
- PECOS PAC ID: 4789903733
- Enrollment ID: I20150424002263
Medical Identifiers
Medical identifiers for Mrs Teresa Sims such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1699082784 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | 65548 (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. Mrs Teresa Sims allows following entities to bill medicare on her behalf.
| Entity Name | Gardner Family Health Network Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1699841528
PECOS PAC ID: 5890859375
Enrollment ID: O20191217001965 |
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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. Mrs Teresa Sims 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 |
|---|
Mrs Teresa Sims, LCSW
160 E Virginia St, Suite 280,
San Jose, CA 95112-5857
Ph: (408) 287-6200 | Mrs Teresa Sims, LCSW
160 E Virginia St, Suite 280,
San Jose, CA 95112-5857
Ph: (408) 287-6200 |
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