Jacqueleen Danielle Yerena, in San Leandro, CA

Jacqueleen Danielle Yerena, is a medicare enrolled "Counselor - Mental Health" provider in San Leandro, California. Her current practice location is 545 Estudillo Ave, San Leandro, California. You can reach out to her office (for appointments etc.) via phone at (909) 388-2222.

Jacqueleen Danielle Yerena is licensed to practice in California (license number APCC9487) 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 1013588516.

Contact Information

	Jacqueleen Danielle Yerena,
	545 Estudillo Ave, San Leandro, CA 94577-4611
	(909) 388-2222
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Jacqueleen Danielle Yerena
Gender	Female
Speciality	Counselor - Mental Health
Location	545 Estudillo Ave, San Leandro, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1013588516
Provider Enumeration Date: 07/06/2021
Last Update Date: 07/06/2021

Medicare PECOS Information:

PECOS PAC ID: 0143758904
Enrollment ID: I20250108001425

Medical Identifiers

Medical identifiers for Jacqueleen Danielle Yerena such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1013588516	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	APCC9487 (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. Jacqueleen Danielle Yerena allows following entities to bill medicare on her behalf.

Entity Name	High Desert Psychological Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1104463371 PECOS PAC ID: 2860819125 Enrollment ID: O20200901001503

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. Jacqueleen Danielle Yerena 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
Jacqueleen Danielle Yerena, Po Box 402364, Hesperia, CA 92340-2364 Ph: () -	Jacqueleen Danielle Yerena, 545 Estudillo Ave, San Leandro, CA 94577-4611 Ph: (909) 388-2222

Reviews and Comments

Counselor in San Leandro, CA

Anusheh N Warda, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2275 Arlington Dr, San Leandro, CA 94578 Phone: 510-481-1222 Fax: 510-481-1605
Mary Lightholder, Counselor Medicare: Medicare Enrolled Practice Location: 500 Davis St, San Leandro, CA 94577 Phone: 510-618-6428
Justin Reid, Counselor Medicare: Not Enrolled in Medicare Practice Location: 15942 Foothill Blvd, San Leandro, CA 94578 Phone: 510-317-1444
Rashida Bremner Onwuka, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2275 Arlington Dr, San Leandro, CA 94578 Phone: 510-317-1444
Meredith Johnston, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2275 Arlington Dr, San Leandro, CA 94578 Phone: 510-317-1444
Claudia Figueroa, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2275 Arlington Dr, San Leandro, CA 94578 Phone: 510-317-1437
Jacquelyn Owens, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2275 Arlington Dr, San Leandro, CA 94578 Phone: 510-317-1444

Jacqueleen Danielle Yerena, - Medicare Counselor in San Leandro, CA