Ms Kathy Ann Hernandez, is a
Social Worker based in San Bernardino, California. Ms Kathy Ann Hernandez is licensed to practice in California (license number 99607) and her current practice location is
720 E Gilbert St, San Bernardino, California. She can be reached at her office (for appointments etc.) via phone at
(909) 501-0981.
NPI number for Ms Kathy Ann Hernandez is 1699030072 and her current mailing address is 1364 N Pampas Ave, Rialto, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1699030072.
Healthcare Provider's Profile
| Full Name | Ms Kathy Ann Hernandez |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker |
|---|
| Location | 720 E Gilbert St, San Bernardino, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1699030072
- Provider Enumeration Date: 07/11/2012
- Last Update Date: 02/12/2024
Medical Identifiers
Medical identifiers for Ms Kathy Ann Hernandez such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1699030072 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | 99607 (California) | Secondary |
| 171M00000X | Case Manager/care Coordinator | (* (Not Available)) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 104100000X | Social Worker | 99607 (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. Ms Kathy Ann Hernandez is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Ms Kathy Ann Hernandez,
1364 N Pampas Ave,
Rialto, CA 92376-3647
Ph: (909) 440-3192 | Ms Kathy Ann Hernandez,
720 E Gilbert St,
San Bernardino, CA 92415-3248
Ph: (909) 501-0981 |
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