Tashina Renee Jaques, LCSW is a medicare enrolled "Social Worker - Clinical" provider in La Mesa, California. Her current practice location is
9029 Park Plaza Dr Ste 101, La Mesa, California. You can reach out to her office (for appointments etc.) via phone at
(888) 688-0248.
Tashina Renee Jaques is licensed to practice in California (license number LCSW118416) 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 1891225819.
Healthcare Provider's Profile
Full Name | Tashina Renee Jaques |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 9029 Park Plaza Dr Ste 101, La Mesa, California |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1891225819
- Provider Enumeration Date: 06/13/2017
- Last Update Date: 11/09/2023
Medicare PECOS Information:
- PECOS PAC ID: 4385093665
- Enrollment ID: I20231212002041
Medical Identifiers
Medical identifiers for Tashina Renee Jaques such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1891225819 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101Y00000X | Counselor | (* (Not Available)) | Secondary |
1041C0700X | Social Worker - Clinical | LCSW118416 (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. Tashina Renee Jaques allows following entities to bill medicare on her behalf.
Entity Name | Fusion Care Group A Psychological Professional Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1275177982 PECOS PAC ID: 8921433590 Enrollment ID: O20200109000932 |
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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. Tashina Renee Jaques 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 |
Tashina Renee Jaques, LCSW Po Box 2102, El Cajon, CA 92021-0102 Ph: () - | Tashina Renee Jaques, LCSW 9029 Park Plaza Dr Ste 101, La Mesa, CA 91942-3450 Ph: (888) 688-0248 |
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