Ms Jennifer H Lee, is a medicare enrolled "Social Worker - Clinical" provider in Pomona, California. Her current practice location is
2008 N Garey Ave, Pomona, California. You can reach out to her office (for appointments etc.) via phone at
(909) 623-6131.
Ms Jennifer H Lee is licensed to practice in California (license number LCSW81084) 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 1457632333.
Healthcare Provider's Profile
| Full Name | Ms Jennifer H Lee |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 2008 N Garey Ave, Pomona, 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: 1457632333
- Provider Enumeration Date: 09/06/2011
- Last Update Date: 03/13/2018
Medicare PECOS Information:
- PECOS PAC ID: 4789947045
- Enrollment ID: I20180419000628
Medical Identifiers
Medical identifiers for Ms Jennifer H Lee such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1457632333 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YM0800X | Counselor - Mental Health | ASW62940 (California) | Secondary |
| 1041C0700X | Social Worker - Clinical | LCSW81084 (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. Ms Jennifer H Lee allows following entities to bill medicare on her behalf.
| Entity Name | Tri-city Mental Health Authority |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1346304920
PECOS PAC ID: 6002710506
Enrollment ID: O20031125000952 |
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| Entity Name | Soultenders Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1164617007
PECOS PAC ID: 6507170453
Enrollment ID: O20150917001766 |
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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. Ms Jennifer H Lee 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 |
|---|
Ms Jennifer H Lee,
2008 N Garey Ave,
Pomona, CA 91767-2722
Ph: (909) 623-6131 | Ms Jennifer H Lee,
2008 N Garey Ave,
Pomona, CA 91767-2722
Ph: (909) 623-6131 |
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