Dr Jennifer Dyarman, PSYD LCSW LCAC is a medicare enrolled "Psychologist" provider in Merrillville, Indiana. Her current practice location is
417 W 81st Ave # 132, Merrillville, Indiana. You can reach out to her office (for appointments etc.) via phone at
(219) 804-6262.
Dr Jennifer Dyarman is licensed to practice in * (Not Available) (license number ) 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 1770873853.
Healthcare Provider's Profile
| Full Name | Dr Jennifer Dyarman |
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| Gender | Female |
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| Speciality | Psychologist |
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| Location | 417 W 81st Ave # 132, Merrillville, Indiana |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1770873853
- Provider Enumeration Date: 04/11/2011
- Last Update Date: 07/16/2024
Medicare PECOS Information:
- PECOS PAC ID: 1951677293
- Enrollment ID: I20171101000338
Medical Identifiers
Medical identifiers for Dr Jennifer Dyarman such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1770873853 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 87001541A (Indiana) | Secondary |
| 1041C0700X | Social Worker - Clinical | 34006895A (Indiana) | Secondary |
| 103T00000X | Psychologist | (* (Not Available)) | 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. Dr Jennifer Dyarman allows following entities to bill medicare on her behalf.
| Entity Name | Wellhome Psychology Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1972106599
PECOS PAC ID: 3476965070
Enrollment ID: O20201223000380 |
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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. Dr Jennifer Dyarman 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 |
|---|
Dr Jennifer Dyarman, PSYD LCSW LCAC
417 W 81st Ave # 132,
Merrillville, IN 46410-5317
Ph: (219) 804-6262 | Dr Jennifer Dyarman, PSYD LCSW LCAC
417 W 81st Ave # 132,
Merrillville, IN 46410-5317
Ph: (219) 804-6262 |
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