Ms Juanita Mena, LCSW is a medicare enrolled "Social Worker - Clinical" provider in San Francisco, California. Her current practice location is
2919 Mission St, San Francisco, California. You can reach out to her office (for appointments etc.) via phone at
(415) 229-0500.
Ms Juanita Mena is licensed to practice in California (license number LCSW83142) 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 1497096002.
Healthcare Provider's Profile
| Full Name | Ms Juanita Mena |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 2919 Mission St, San Francisco, 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: 1497096002
- Provider Enumeration Date: 03/06/2013
- Last Update Date: 02/11/2022
Medicare PECOS Information:
- PECOS PAC ID: 0042553208
- Enrollment ID: I20190510001129
Medical Identifiers
Medical identifiers for Ms Juanita Mena such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1497096002 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101Y00000X | Counselor | ASW35736 (California) | Secondary |
| 1041C0700X | Social Worker - Clinical | 82142 (California) | Secondary |
| 1041C0700X | Social Worker - Clinical | LCSW83142 (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 Juanita Mena allows following entities to bill medicare on her behalf.
| Entity Name | Permanente Medical Group Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1073606299
PECOS PAC ID: 8921910225
Enrollment ID: O20031104000710 |
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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 Juanita Mena 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 Juanita Mena, LCSW
2919 Mission St,
San Francisco, CA 94110-3917
Ph: (415) 229-0500 | Ms Juanita Mena, LCSW
2919 Mission St,
San Francisco, CA 94110
Ph: (415) 229-0500 |
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