Jessica Vianney Roman, MSW is a medicare enrolled "Social Worker" provider in Santa Paula, California. Her current practice location is
725 E Main St, Santa Paula, California. You can reach out to her office (for appointments etc.) via phone at
(805) 933-8440.
Jessica Vianney Roman is licensed to practice in California (license number ) 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 1366893190.
Healthcare Provider's Profile
| Full Name | Jessica Vianney Roman |
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| Gender | Female |
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| Speciality | Social Worker |
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| Location | 725 E Main St, Santa Paula, 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: 1366893190
- Provider Enumeration Date: 06/22/2016
- Last Update Date: 02/16/2022
Medicare PECOS Information:
- PECOS PAC ID: 6709270465
- Enrollment ID: I20220223002574
Medical Identifiers
Medical identifiers for Jessica Vianney Roman such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1366893190 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 225400000X | Rehabilitation Practitioner | (* (Not Available)) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 104100000X | Social Worker | (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. Jessica Vianney Roman allows following entities to bill medicare on her behalf.
| Entity Name | Southern California Permanente Medical Group |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1770515280
PECOS PAC ID: 6002729175
Enrollment ID: O20031110000678 |
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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. Jessica Vianney Roman 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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Jessica Vianney Roman, MSW
145 Hodencamp Rd, Ste 100,
Thousand Oaks, CA 91360-5897
Ph: (805) 933-8440 | Jessica Vianney Roman, MSW
725 E Main St,
Santa Paula, CA 93060-2748
Ph: (805) 933-8440 |
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