Eudelina Ortiz Jacobo, in Commerce, CA - Medicare Counselor Provider

Eudelina Ortiz Jacobo, is a medicare enrolled "Counselor - Mental Health" provider in Commerce, California. Her current practice location is 5650 Jillson St, Commerce, California. You can reach out to her office (for appointments etc.) via phone at (323) 201-4516.

Eudelina Ortiz Jacobo is licensed to practice in California (license number ASW66659) 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 1144677113.

Contact Information

	Eudelina Ortiz Jacobo,
	5650 Jillson St, Commerce, CA 90040-1482
	(323) 201-4516
	(323) 215-0170

Map and Direction

Healthcare Provider's Profile

Full Name	Eudelina Ortiz Jacobo
Gender	Female
Speciality	Counselor - Mental Health
Location	5650 Jillson St, Commerce, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1144677113
Provider Enumeration Date: 05/19/2016
Last Update Date: 05/19/2016

Medicare PECOS Information:

PECOS PAC ID: 6305212176
Enrollment ID: I20221019001324

Medical Identifiers

Medical identifiers for Eudelina Ortiz Jacobo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1144677113	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	ASW66659 (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. Eudelina Ortiz Jacobo allows following entities to bill medicare on her behalf.

Entity Name	Growing Minds Psychological Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1588068787 PECOS PAC ID: 3870817414 Enrollment ID: O20150130000916

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. Eudelina Ortiz Jacobo 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
Eudelina Ortiz Jacobo, 5650 Jillson St, Commerce, CA 90040-1482 Ph: (323) 201-4516	Eudelina Ortiz Jacobo, 5650 Jillson St, Commerce, CA 90040-1482 Ph: (323) 201-4516

Reviews and Comments

Counselor in Commerce, CA

Misleidhy Rodriguez, Counselor Medicare: Not Enrolled in Medicare Practice Location: 5650 Jillson St, Commerce, CA 90040 Phone: 323-201-4516
Mr. Gerard Escalante, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2450 S Atlantic Blvd Ste 101, Commerce, CA 90040 Phone: 323-887-1917
Adrienne Mclaughlin, ASW79500 Counselor Medicare: Not Enrolled in Medicare Practice Location: 1500 S Mcdonnell Ave, Commerce, CA 90040 Phone: 323-981-4301
Ms. Wendy Nohemy Hernandez, ACSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 5628 E Slauson Ave, Commerce, CA 90040 Phone: 323-318-9960 Fax: 323-780-3211
Gregory Archie, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1011 Goodrich Blvd, Commerce, CA 90022 Phone: 323-888-9191
Priscilla Marie Peraza, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 5628 E Slauson Ave, Commerce, CA 90040 Phone: 323-480-9242 Fax: 323-832-9224
Ernesto Garcia, MSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 1000 Goodrich Blvd, Commerce, CA 90022 Phone: 323-832-9795

Eudelina Ortiz Jacobo, - Medicare Counselor in Commerce, CA