Dr Jenna Lauren Bauer, PSYD is a
Psychologist - Clinical based in Chicago, Illinois. Dr Jenna Lauren Bauer is licensed to practice in Illinois (license number 071.008558) and her current practice location is
1200 W Harrison St, 2010 Ssb, Uic Counseling Center (mc333), Chicago, Illinois. She can be reached at her office (for appointments etc.) via phone at
(312) 996-3490.
NPI number for Dr Jenna Lauren Bauer is 1255524104 and her current mailing address is 1717 W North Ave Apt 4, Chicago, Illinois. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1255524104.
Healthcare Provider's Profile
| Full Name | Dr Jenna Lauren Bauer |
|---|
| Gender | Female |
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| Speciality | Psychologist - Clinical |
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| Location | 1200 W Harrison St, Chicago, Illinois |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1255524104
- Provider Enumeration Date: 08/23/2007
- Last Update Date: 09/27/2021
Medical Identifiers
Medical identifiers for Dr Jenna Lauren Bauer such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1255524104 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 103TC0700X | Psychologist - Clinical | 071.008558 (Illinois) | 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 Jenna Lauren Bauer 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 Jenna Lauren Bauer, PSYD
1717 W North Ave Apt 4,
Chicago, IL 60622-8274
Ph: (872) 208-8833 | Dr Jenna Lauren Bauer, PSYD
1200 W Harrison St, 2010 Ssb, Uic Counseling Center (mc333),
Chicago, IL 60607-3320
Ph: (312) 996-3490 |
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