Dr Jenna Ariel King, is a medicare enrolled "Psychologist - Clinical" provider in Daly City, California. Her current practice location is
2001 Junipero Serra Blvd Ste 650, Daly City, California. You can reach out to her office (for appointments etc.) via phone at
(650) 746-1670.
Dr Jenna Ariel King is licensed to practice in California (license number 30722) 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 1366718884.
Healthcare Provider's Profile
Full Name | Dr Jenna Ariel King |
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Gender | Female |
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Speciality | Psychologist - Clinical |
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Location | 2001 Junipero Serra Blvd Ste 650, Daly City, California |
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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: 1366718884
- Provider Enumeration Date: 03/29/2012
- Last Update Date: 01/03/2022
Medicare PECOS Information:
- PECOS PAC ID: 4183091010
- Enrollment ID: I20221107002688
Medical Identifiers
Medical identifiers for Dr Jenna Ariel King such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1366718884 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101Y00000X | Counselor | A62458719 (Virginia) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
103TC0700X | Psychologist - Clinical | 30722 (California) | 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 Jenna Ariel King allows following entities to bill medicare on her behalf.
Entity Name | Permanente Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
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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 Jenna Ariel King 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 Jenna Ariel King, 1824 Louvaine Dr, Daly City, CA 94015-2022 Ph: (571) 243-5737 | Dr Jenna Ariel King, 2001 Junipero Serra Blvd Ste 650, Daly City, CA 94014-3897 Ph: (650) 746-1670 |
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