Mary Nirmala Jerome, in La Mesa, CA - Medicare Counselor Provider

Mary Nirmala Jerome, is a medicare enrolled "Counselor - Mental Health" provider in La Mesa, California. Her current practice location is 4700 Spring St Ste No301, La Mesa, California. You can reach out to her office (for appointments etc.) via phone at (619) 800-5516.

Mary Nirmala Jerome is licensed to practice in California (license number LPCC11338) 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 1730644709.

Contact Information

	Mary Nirmala Jerome,
	4700 Spring St Ste No301, La Mesa, CA 91942-0263
	(619) 800-5516
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mary Nirmala Jerome
Gender	Female
Speciality	Counselor - Mental Health
Location	4700 Spring St Ste No301, La Mesa, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1730644709
Provider Enumeration Date: 02/04/2019
Last Update Date: 04/24/2023

Medicare PECOS Information:

PECOS PAC ID: 6204361082
Enrollment ID: I20241203002705

Medical Identifiers

Medical identifiers for Mary Nirmala Jerome such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1730644709	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	LPCC11338 (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. Mary Nirmala Jerome allows following entities to bill medicare on her behalf.

Entity Name	Grow Healthcare Group Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1154994846 PECOS PAC ID: 1850774746 Enrollment ID: O20220809004080

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. Mary Nirmala Jerome 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
Mary Nirmala Jerome, 10626 Louisa Dr, La Mesa, CA 91941-7059 Ph: (619) 800-5516	Mary Nirmala Jerome, 4700 Spring St Ste No301, La Mesa, CA 91942-0263 Ph: (619) 800-5516

Reviews and Comments

Counselor in La Mesa, CA

Jeremy Buttolph Robson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3845 Avocado School Rd, La Mesa, CA 91941 Phone: 619-588-3653
Sonia Peterson, PH.D. CRC LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 8064 Allison Ave # 1563, La Mesa, CA 91942 Phone: 619-559-6646
Miss Vanessa Elayne Farrior I, ASW Counselor Medicare: Not Enrolled in Medicare Practice Location: 4990 Williams Ave, La Mesa, CA 91942 Phone: 619-668-4200 Fax: 619-698-1665
Ms. Helena B Wade, LCSW Counselor Medicare: Medicare Enrolled Practice Location: 4700 Spring St, La Mesa, CA 91942 Phone: 619-591-5740
Brittany Nicole Hartman, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4990 Williams Ave, La Mesa, CA 91942 Phone: 619-668-4200
Mr. Jose Armando Gomez, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4990 Williams Ave, La Mesa, CA 91942 Phone: 619-668-4200
Jessica Alford, Counselor Medicare: Medicare Enrolled Practice Location: 4990 Williams Ave, La Mesa, CA 91942 Phone: 196-668-4200 Fax: 619-668-1665

Mary Nirmala Jerome, - Medicare Counselor in La Mesa, CA