Rita Hernandez, is a medicare enrolled "Social Worker - Clinical" provider in Las Vegas, Nevada. Her current practice location is
3035 S Maryland Pkwy, Las Vegas, Nevada. You can reach out to her office (for appointments etc.) via phone at
(702) 857-8800.
Rita Hernandez is licensed to practice in Nevada (license number 12328-C) 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 1023607058.
Healthcare Provider's Profile
| Full Name | Rita Hernandez |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 3035 S Maryland Pkwy, Las Vegas, Nevada |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1023607058
- Provider Enumeration Date: 01/14/2021
- Last Update Date: 06/13/2025
Medicare PECOS Information:
- PECOS PAC ID: 8022526516
- Enrollment ID: I20250805003102
Medical Identifiers
Medical identifiers for Rita Hernandez such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1023607058 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | 12328-C (Nevada) | 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. Rita Hernandez allows following entities to bill medicare on her behalf.
| Entity Name | Fundamental Behavioral Services LLC |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1699158600 PECOS PAC ID: 0345657979 Enrollment ID: O20210329000558 |
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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. Rita Hernandez 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 |
Rita Hernandez, 3035 S Maryland Pkwy, Las Vegas, NV 89109-2200 Ph: Not Available | Rita Hernandez, 3035 S Maryland Pkwy, Las Vegas, NV 89109-2200 Ph: (702) 857-8800 |
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