Dr Jacquelyn Mentor, EDD is a
Counselor - Mental Health based in Dover, Florida. Dr Jacquelyn Mentor is licensed to practice in Florida (license number MH9344) and her current practice location is
9310 Barrington Oaks Dr, Dover, Florida. She can be reached at her office (for appointments etc.) via phone at
(813) 684-2304.
NPI number for Dr Jacquelyn Mentor is 1952985160 and her current mailing address is 9310 Barrington Oaks Dr, Dover, Florida. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1952985160.
Healthcare Provider's Profile
Full Name | Dr Jacquelyn Mentor |
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Gender | Female |
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Speciality | Counselor - Mental Health |
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Location | 9310 Barrington Oaks Dr, Dover, Florida |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1952985160
- Provider Enumeration Date: 05/12/2021
- Last Update Date: 05/12/2021
Medical Identifiers
Medical identifiers for Dr Jacquelyn Mentor such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1952985160 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | MH9344 (Florida) | Primary |
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. Dr Jacquelyn Mentor is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Jacquelyn Mentor, EDD 9310 Barrington Oaks Dr, Dover, FL 33527-3758 Ph: (813) 684-2304 | Dr Jacquelyn Mentor, EDD 9310 Barrington Oaks Dr, Dover, FL 33527-3758 Ph: (813) 684-2304 |
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