Sally Ann Cermeno, in San Jose, CA - Medicare Counselor Provider

Sally Ann Cermeno, is a medicare enrolled "Counselor - Mental Health" provider in San Jose, California. Her current practice location is 3028 Shadow Springs Pl, San Jose, California. You can reach out to her office (for appointments etc.) via phone at (408) 506-6023.

Sally Ann Cermeno is licensed to practice in * (Not Available) (license number ) 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 1609193200.

Contact Information

	Sally Ann Cermeno,
	3028 Shadow Springs Pl, San Jose, CA 95121-1751
	(408) 506-6023
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Sally Ann Cermeno
Gender	Female
Speciality	Counselor - Mental Health
Location	3028 Shadow Springs Pl, San Jose, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1609193200
Provider Enumeration Date: 04/23/2010
Last Update Date: 01/03/2022

Medicare PECOS Information:

PECOS PAC ID: 9436594660
Enrollment ID: I20240228000701

Medical Identifiers

Medical identifiers for Sally Ann Cermeno such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1609193200	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	(* (Not Available))	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. Sally Ann Cermeno allows following entities to bill medicare on her behalf.

Entity Name	Permanente Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710

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. Sally Ann Cermeno 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
Sally Ann Cermeno, 3028 Shadow Springs Pl, San Jose, CA 95121-1751 Ph: (408) 506-6023	Sally Ann Cermeno, 3028 Shadow Springs Pl, San Jose, CA 95121-1751 Ph: (408) 506-6023

Reviews and Comments

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Sally Ann Cermeno, - Medicare Counselor in San Jose, CA