Jennifer Amato, is a medicare enrolled "Clinical Neuropsychologist" provider in Waltham, Massachusetts. Her current practice location is
9 Hope Ave, Waltham, Massachusetts. You can reach out to her office (for appointments etc.) via phone at
(781) 216-2100.
Jennifer Amato is licensed to practice in Massachusetts (license number PSY10001175) 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 1750759940.
Healthcare Provider's Profile
| Full Name | Jennifer Amato |
|---|
| Gender | Female |
|---|
| Speciality | Clinical Neuropsychologist |
|---|
| Location | 9 Hope Ave, Waltham, Massachusetts |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1750759940
- Provider Enumeration Date: 09/04/2015
- Last Update Date: 11/26/2024
Medicare PECOS Information:
- PECOS PAC ID: 3971915539
- Enrollment ID: I20201229000426
Medical Identifiers
Medical identifiers for Jennifer Amato such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1750759940 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 103T00000X | Psychologist | 1510 (New Hampshire) | Secondary |
| 103G00000X | Clinical Neuropsychologist | PSY10001175 (Massachusetts) | 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. Jennifer Amato allows following entities to bill medicare on her behalf.
| Entity Name | Mary Hitchcock Memorial Hospital |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1023092053
PECOS PAC ID: 4486561164
Enrollment ID: O20031126000258 |
|---|
| Entity Name | Dartmouth-hitchcock Clinic |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1548210198
PECOS PAC ID: 4183537509
Enrollment ID: O20040809000442 |
|---|
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. Jennifer Amato 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 |
|---|
Jennifer Amato,
300 Longwood Ave,
Boston, MA 02115-5724
Ph: (617) 355-6000 | Jennifer Amato,
9 Hope Ave,
Waltham, MA 02453-2741
Ph: (781) 216-2100 |
Reviews and Comments