Haneda Mijares Knox, is a medicare enrolled "Social Worker - Clinical" provider in San Jose, California. Her current practice location is
2221 Enborg Ln, San Jose, California. You can reach out to her office (for appointments etc.) via phone at
(408) 885-6220.
Haneda Mijares Knox is licensed to practice in California (license number 96709) 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 1225682164.
Healthcare Provider's Profile
| Full Name | Haneda Mijares Knox |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 2221 Enborg Ln, San Jose, California |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1225682164
- Provider Enumeration Date: 07/29/2019
- Last Update Date: 02/21/2023
Medicare PECOS Information:
- PECOS PAC ID: 9638695984
- Enrollment ID: I20250429002819
Medical Identifiers
Medical identifiers for Haneda Mijares Knox such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1225682164 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 104100000X | Social Worker | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | 96709 (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. Haneda Mijares Knox allows following entities to bill medicare on her behalf.
| Entity Name | Grow Healthcare Group Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1154994846
PECOS PAC ID: 1850774746
Enrollment ID: O20220809004080 |
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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. Haneda Mijares Knox 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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Haneda Mijares Knox,
160 E Virginia St Ste 100,
San Jose, CA 95112-5865
Ph: (408) 938-2113 | Haneda Mijares Knox,
2221 Enborg Ln,
San Jose, CA 95128-2608
Ph: (408) 885-6220 |
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