Jenna Hardy-surina, MA LMFT in Pomona, CA - Medicare Marriage & Family Therapist Provider

Jenna Hardy-surina, MA LMFT is a medicare enrolled "Marriage & Family Therapist" provider in Pomona, California. Her current practice location is 790 Indigo Ct Ste C, Pomona, California. You can reach out to her office (for appointments etc.) via phone at (909) 255-6554.

Jenna Hardy-surina is licensed to practice in California (license number 128702) 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 1396488250.

Contact Information

	Jenna Hardy-surina, MA LMFT
	790 Indigo Ct Ste C, Pomona, CA 91767-2272
	(909) 255-6554
	(909) 850-3221

Map and Direction

Healthcare Provider's Profile

Full Name	Jenna Hardy-surina
Gender	Female
Speciality	Marriage & Family Therapist
Location	790 Indigo Ct Ste C, Pomona, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1396488250
Provider Enumeration Date: 04/19/2022
Last Update Date: 11/28/2023

Medicare PECOS Information:

PECOS PAC ID: 7315383619
Enrollment ID: I20240308002508

Medical Identifiers

Medical identifiers for Jenna Hardy-surina such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1396488250	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
106H00000X	Marriage & Family Therapist	128702 (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. Jenna Hardy-surina allows following entities to bill medicare on her behalf.

Entity Name	Head & Heart Family Therapy Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1386419521 PECOS PAC ID: 6507202801 Enrollment ID: O20240308002441

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. Jenna Hardy-surina 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
Jenna Hardy-surina, MA LMFT 625 Birch Ave, Upland, CA 91786-4422 Ph: (909) 255-6554	Jenna Hardy-surina, MA LMFT 790 Indigo Ct Ste C, Pomona, CA 91767-2272 Ph: (909) 255-6554

Reviews and Comments

Marriage & Family Therapist in Pomona, CA

Ms. Loyce Ann Hampson, M.A. Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 790 E Bonita Ave, Pomona, CA 91767 Phone: 714-470-1457
Kwonta Phatiphong, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 2008 N Garey Ave, Pomona, CA 91767 Phone: 909-623-6131
Yvette Barriga, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1900 Royalty Dr Ste 180, Pomona, CA 91767 Phone: 909-766-7340 Fax: 909-865-0730
Mr. Luis Felipe Resendez Jr., M.A. Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 2008 N Garey Ave, Pomona, CA 91764 Phone: 909-766-7302
Nana Bamfo, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 2008 N Garey Ave, Pomona, CA 91767 Phone: 909-623-6131
Sitlally Garcia, AMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 801 Corporate Center Dr Ste 202, Pomona, CA 91768 Phone: 626-658-1843
Sarah P Liu, MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 160 E Holt Ave Ste F, Pomona, CA 91767 Phone: 626-257-1479

Jenna Hardy-surina, MA LMFT - Medicare Couples Therapy in Pomona, CA