Gina Hernandez, is a medicare enrolled "Psychologist - Clinical" provider in Riverside, California. She graduated from healthcare school in 2017 and has 9 years of diverse experience with area of expertise as Clinical Psychologist. She is a member of the group practice Pure Autism Counseling Center Inc and her current practice location is
3380 La Sierra Ave Ste 104-142, Riverside, California. You can reach out to her office (for appointments etc.) via phone at
(818) 331-6961.
Gina Hernandez is licensed to practice in California (license number 94028528) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1740691757.
Healthcare Provider's Profile
| Full Name | Gina Hernandez |
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| Gender | Female |
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| Speciality | Clinical Psychologist |
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| Experience | 9 Years |
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| Location | 3380 La Sierra Ave Ste 104-142, Riverside, California |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Gina Hernandez graduated from medical school in 2017
NPI Data:
- NPI Number: 1740691757
- Provider Enumeration Date: 05/13/2014
- Last Update Date: 11/04/2024
Medicare PECOS Information:
- PECOS PAC ID: 6204367055
- Enrollment ID: I20241003001591
Medical Identifiers
Medical identifiers for Gina Hernandez such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1740691757 | NPI | - | NPPES |
| 01536011 | Other | CA | MEDI-CAL |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 103TC0700X | Psychologist - Clinical | 94028528 (California) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Pure Autism Counseling Center Inc | 4284967167 | 16 |
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. Gina Hernandez allows following entities to bill medicare on her behalf.
| Entity Name | Pure Autism Counseling Center Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1649737735
PECOS PAC ID: 4284967167
Enrollment ID: O20190607001200 |
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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. Gina Hernandez 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 |
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Gina Hernandez,
3380 La Sierra Ave Ste 104-142,
Riverside, CA 92503-5271
Ph: (818) 331-6961 | Gina Hernandez,
3380 La Sierra Ave Ste 104-142,
Riverside, CA 92503-5271
Ph: (818) 331-6961 |
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