Judy Derosena, MED,LAC, NCC in Clifton, NJ - Medicare Counselor Provider

Judy Derosena, MED,LAC, NCC is a medicare enrolled "Counselor - Mental Health" provider in Clifton, New Jersey. Her current practice location is 1135 Clifton Ave Ste 207, Clifton, New Jersey. You can reach out to her office (for appointments etc.) via phone at (973) 988-4241.

Judy Derosena is licensed to practice in New Jersey (license number 37PC00943700) 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 1053083212.

Contact Information

	Judy Derosena, MED,LAC, NCC
	1135 Clifton Ave Ste 207, Clifton, NJ 07013-3643
	(973) 988-4241
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Judy Derosena
Gender	Female
Speciality	Counselor - Mental Health
Location	1135 Clifton Ave Ste 207, Clifton, New Jersey
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1053083212
Provider Enumeration Date: 10/05/2021
Last Update Date: 04/14/2023

Medicare PECOS Information:

PECOS PAC ID: 6507395902
Enrollment ID: I20250130001418

Medical Identifiers

Medical identifiers for Judy Derosena such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1053083212	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	37AC00524800 (New Jersey)	Secondary
101YM0800X	Counselor - Mental Health	37PC00943700 (New Jersey)	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. Judy Derosena allows following entities to bill medicare on her behalf.

Entity Name	Shore Psychological Healthcare Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1477563534 PECOS PAC ID: 6305846379 Enrollment ID: O20061226000015

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. Judy Derosena 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
Judy Derosena, MED,LAC, NCC 33 Cannon St, West Orange, NJ 07052-3646 Ph: (718) 308-1101	Judy Derosena, MED,LAC, NCC 1135 Clifton Ave Ste 207, Clifton, NJ 07013-3643 Ph: (973) 988-4241

Reviews and Comments

Counselor in Clifton, NJ

Alessandra Trenta, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 377 Valley Rd, Clifton, NJ 07013 Phone: 973-433-6527
Ms. Sandra Chaves Dalton, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 136 Kingsland Rd Ste 1034, Clifton, NJ 07014 Phone: 973-797-9707
Ms. Tiffany Michelle Boyer, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1115 Clifton Ave Ste 202, Clifton, NJ 07013 Phone: 718-215-5311
Ms. Joanna Lynn Buset, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 777 Passaic Ave, Suite 565, Clifton, NJ 07012 Phone: 973-815-0777
Ms. Aja Redmond, LCADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 777 Bloomfield Ave, Clifton, NJ 07012 Phone: 973-594-0125 Fax: 973-594-0536
Joseph David Retik, LPC, CCH Counselor Medicare: Not Enrolled in Medicare Practice Location: 470 Colfax Ave, Clifton, NJ 07013 Phone: 973-473-2343 Fax: 973-473-2308
Carlos Hernandez, Counselor Medicare: Not Enrolled in Medicare Practice Location: 730 Broad St Ste 2, Clifton, NJ 07013 Phone: 973-207-5043

Judy Derosena, MED,LAC, NCC - Medicare Counselor in Clifton, NJ