Dr Jennifer M Katele, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Glendale, Wisconsin. She graduated from healthcare school in 2018 and has 7 years of diverse experience with area of expertise as Clinical Psychologist. She is a member of the group practice North Shore Psychotherapy Associates Iv and her current practice location is
5555 N Port Washington Rd Ste 300, Glendale, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(414) 962-6764.
Dr Jennifer M Katele is licensed to practice in Wisconsin (license number 3823-057) and she also participates in the medicare program. She
may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1306361522.
Healthcare Provider's Profile
| Full Name | Dr Jennifer M Katele |
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| Gender | Female |
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| Speciality | Clinical Psychologist |
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| Experience | 7 Years |
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| Location | 5555 N Port Washington Rd Ste 300, Glendale, Wisconsin |
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| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Jennifer M Katele graduated from medical school in 2018
NPI Data:
- NPI Number: 1306361522
- Provider Enumeration Date: 08/09/2017
- Last Update Date: 05/04/2022
Medicare PECOS Information:
- PECOS PAC ID: 3375957475
- Enrollment ID: I20210202000206
Medical Identifiers
Medical identifiers for Dr Jennifer M Katele such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1306361522 | NPI | - | NPPES |
| 100080089 | Medicaid | WI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 103TC0700X | Psychologist - Clinical | 3823-057 (Wisconsin) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| North Shore Psychotherapy Associates Iv | 7911287461 | 3 |
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 M Katele allows following entities to bill medicare on her behalf.
| Entity Name | North Shore Psychotherapy Associates Iv |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1194809574
PECOS PAC ID: 7911287461
Enrollment ID: O20161129002490 |
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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 M Katele 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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Dr Jennifer M Katele, PSYD
5555 N Port Washington Rd Ste 300,
Glendale, WI 53217-4928
Ph: (414) 962-6764 | Dr Jennifer M Katele, PSYD
5555 N Port Washington Rd Ste 300,
Glendale, WI 53217-4928
Ph: (414) 962-6764 |
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