Angela Rae Hernandez, LCSW in Provo, UT - Medicare Social Worker Provider

Angela Rae Hernandez, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Provo, Utah. Her current practice location is 750 N Freedom Blvd, Provo, Utah. You can reach out to her office (for appointments etc.) via phone at (801) 373-4760.

Angela Rae Hernandez is licensed to practice in Utah (license number 13069232-3501) 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 1306308036.

Contact Information

	Angela Rae Hernandez, LCSW
	750 N Freedom Blvd, Provo, UT 84601-1677
	(801) 373-4760
	(801) 373-0639

Healthcare Provider's Profile

Full Name	Angela Rae Hernandez
Gender	Female
Speciality	Social Worker - Clinical
Location	750 N Freedom Blvd, Provo, Utah
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1306308036
Provider Enumeration Date: 04/02/2019
Last Update Date: 11/03/2022

Medicare PECOS Information:

PECOS PAC ID: 1456689140
Enrollment ID: I20221223001032

Medical Identifiers

Medical identifiers for Angela Rae Hernandez such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1306308036	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	8732-123 (Wisconsin)	Secondary
1041C0700X	Social Worker - Clinical	13069232-3501 (Utah)	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. Angela Rae Hernandez allows following entities to bill medicare on her behalf.

Entity Name	Wasatch Behavioral Health Special Service District
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1356357115 PECOS PAC ID: 2567367915 Enrollment ID: O20031129000014

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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. Angela Rae 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
Angela Rae Hernandez, LCSW N1184 S White River Rd, Wautoma, WI 54982-9021 Ph: (715) 209-1253	Angela Rae Hernandez, LCSW 750 N Freedom Blvd, Provo, UT 84601-1677 Ph: (801) 373-4760

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Social Worker in Provo, UT

Dallas Bean, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 750 N 200 W Ste 300, Provo, UT 84601 Phone: 801-373-4760
Brenna Garrett, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1300 E Center St, Provo, UT 84606 Phone: 801-344-4400
Mrs. Karen Dee Amsden, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 750 N Freedom Blvd, Provo, UT 84601 Phone: 801-373-4760
Mr. John Paul Lilly, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 286 S 600 E, Suite C, Provo, UT 84606 Phone: 801-377-8232 Fax: 801-377-0930
Frederick Brewer, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 750 N Freedom Blvd, Suite 108, Provo, UT 84601 Phone: 801-373-7394
William Kory Camp, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1300 E Center St, Provo, UT 84606 Phone: 801-344-4215
Alaina Barrick, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4045 N Canyon Rd, Provo, UT 84604 Phone: 859-582-0032

Angela Rae Hernandez, LCSW - Medicare Clinical Social Worker in Provo, UT

Contact Information

Healthcare Provider's Profile

Medical Identifiers

Medical Taxonomies and Licenses

Medicare Reassignments

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ESHRE Annual Meeting addresses latest breakthroughs in reproductive medicine

Study shows that overall burnout is equal among inpatient and outpatient physicians

NIH grant to the University of Central Florida to conduct research on aphasia

Medicare Part D Prescriber Enrollment

Mailing Address and Practice Location

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Study shows that overall burnout is equal among inpatient and outpatient physicians

NIH grant to the University of Central Florida to conduct research on aphasia

Social Worker in Provo, UT