Irvin Omar Juarez, in Colton, CA - Medicare Counselor Provider

Irvin Omar Juarez, is a medicare enrolled "Counselor - Mental Health" provider in Colton, California. His current practice location is 851 S Mount Vernon Ave Ste 7a, Colton, California. You can reach out to his office (for appointments etc.) via phone at (760) 241-6044.

Irvin Omar Juarez is licensed to practice in California (license number 130893) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1528711280.

Contact Information

	Irvin Omar Juarez,
	851 S Mount Vernon Ave Ste 7a, Colton, CA 92324-3926
	(760) 241-6044
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Irvin Omar Juarez
Gender	Male
Speciality	Counselor - Mental Health
Location	851 S Mount Vernon Ave Ste 7a, Colton, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1528711280
Provider Enumeration Date: 02/01/2022
Last Update Date: 02/01/2022

Medicare PECOS Information:

PECOS PAC ID: 6507388642
Enrollment ID: I20250319000374

Medical Identifiers

Medical identifiers for Irvin Omar Juarez such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1528711280	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101Y00000X	Counselor	130893 (California)	Secondary
101YP2500X	Counselor - Professional	130893 (California)	Secondary
101YM0800X	Counselor - Mental Health	130893 (California)	Primary
101YA0400X	Counselor - Addiction (substance Use Disorder)	130893 (California)	Secondary

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. Irvin Omar Juarez allows following entities to bill medicare on his behalf.

Entity Name	Weber Counseling Services A Licensed Clinical Social Worker Pr
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1316608482 PECOS PAC ID: 8325425499 Enrollment ID: O20220510002161

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. Irvin Omar Juarez 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
Irvin Omar Juarez, 15675 Paine St, Fontana, CA 92336-8744 Ph: (909) 279-5888	Irvin Omar Juarez, 851 S Mount Vernon Ave Ste 7a, Colton, CA 92324-3926 Ph: (760) 241-6044

Reviews and Comments

Counselor in Colton, CA

Ms. Judith A Tate, LSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 1330 E Cooley Dr, Colton, CA 92324 Phone: 909-580-3705 Fax: 909-803-3747
Maria Lugo, BA Counselor Medicare: Not Enrolled in Medicare Practice Location: 1430 E Cooley Dr Ste 240, Colton, CA 92324 Phone: 909-433-0445
Miss Jessica Estrada, RECOVERY WORKER Counselor Medicare: Not Enrolled in Medicare Practice Location: 2275 E Cooley Dr, Colton, CA 92324 Phone: 909-370-1777 Fax: 909-370-1776
Leah Denise Cervantes, SUD COUNSELOR Counselor Medicare: Not Enrolled in Medicare Practice Location: 2275 E Cooley Dr, Colton, CA 92324 Phone: 909-370-1776 Fax: 909-370-1776
Katie Wiseman, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1461 E Cooley Dr Ste 100, Colton, CA 92324 Phone: 877-527-7227
Nicole Shaver, Counselor Medicare: Not Enrolled in Medicare Practice Location: 23950 Prado Ln, Colton, CA 92324 Phone: 909-514-1958
Sandra Hernandez-chavez, LMFT Counselor Medicare: Not Enrolled in Medicare Practice Location: 1461 E Cooley Dr Ste 100, Colton, CA 92324 Phone: 877-527-7227

Irvin Omar Juarez, - Medicare Counselor in Colton, CA