Jacqueline Pusateri, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Lemon Grove, California. She graduated from healthcare school in 2006 and has 18 years of diverse experience with area of expertise as Clinical Psychologist. She is a member of the group practice Mellow Medical Inc A Professional Corporation and her current practice location is
3434 Grove St, Lemon Grove, California. You can reach out to her office (for appointments etc.) via phone at
(619) 281-3706.
Jacqueline Pusateri is licensed to practice in California (license number PSY22397) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1861675761.
Healthcare Provider's Profile
| Full Name | Jacqueline Pusateri |
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| Gender | Female |
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| Speciality | Clinical Psychologist |
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| Experience | 18 Years |
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| Location | 3434 Grove St, Lemon Grove, California |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Jacqueline Pusateri graduated from medical school in 2006
NPI Data:
- NPI Number: 1861675761
- Provider Enumeration Date: 12/13/2007
- Last Update Date: 03/18/2011
Medicare PECOS Information:
- PECOS PAC ID: 8325427784
- Enrollment ID: I20220615002614
Medical Identifiers
Medical identifiers for Jacqueline Pusateri such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1861675761 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 103TC0700X | Psychologist - Clinical | PSY22397 (California) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Mellow Medical Inc A Professional Corporation | 3375767403 | 31 |
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. Jacqueline Pusateri allows following entities to bill medicare on her behalf.
| Entity Name | Mellow Medical Inc A Professional Corporation |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1407275886
PECOS PAC ID: 3375767403
Enrollment ID: O20140611002222 |
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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. Jacqueline Pusateri 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 |
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Jacqueline Pusateri, PSYD
3434 Grove St,
Lemon Grove, CA 91945-1812
Ph: (619) 281-3706 | Jacqueline Pusateri, PSYD
3434 Grove St,
Lemon Grove, CA 91945-1812
Ph: (619) 281-3706 |
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