Jenna Leigh Eisen, PHD is a medicare enrolled "Psychologist - Clinical" provider in Geneseo, New York. Her current practice location is
4 South St, Geneseo, New York. You can reach out to her office (for appointments etc.) via phone at
(585) 770-7190.
Jenna Leigh Eisen is licensed to practice in New York (license number 023767) 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 1790032027.
Healthcare Provider's Profile
Full Name | Jenna Leigh Eisen |
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Gender | Female |
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Speciality | Psychologist - Clinical |
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Location | 4 South St, Geneseo, New York |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1790032027
- Provider Enumeration Date: 08/06/2012
- Last Update Date: 09/09/2023
Medicare PECOS Information:
- PECOS PAC ID: 0446604821
- Enrollment ID: I20231004001315
Medical Identifiers
Medical identifiers for Jenna Leigh Eisen such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1790032027 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
103TC0700X | Psychologist - Clinical | 023767 (New York) | 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. Jenna Leigh Eisen allows following entities to bill medicare on her behalf.
Entity Name | Genesee Valley Psychology Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1679114169 PECOS PAC ID: 0648692780 Enrollment ID: O20200618003102 |
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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. Jenna Leigh Eisen 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 |
Jenna Leigh Eisen, PHD 4 South St, Geneseo, NY 14454-1310 Ph: (585) 770-7190 | Jenna Leigh Eisen, PHD 4 South St, Geneseo, NY 14454-1310 Ph: (585) 770-7190 |
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