Ms Jenissa Dawn Chintella, is a medicare enrolled "Psychologist" provider in Newubry Park, California. Her current practice location is
4337 Blackwood St., Newubry Park, California. You can reach out to her office (for appointments etc.) via phone at
(909) 709-2459.
Ms Jenissa Dawn Chintella is licensed to practice in South Carolina (license number 1488) 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 1326398991.
Healthcare Provider's Profile
Full Name | Ms Jenissa Dawn Chintella |
---|
Gender | Female |
---|
Speciality | |
---|
Experience | Years |
---|
Location | 4337 Blackwood St., Newubry Park, California |
---|
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Ms Jenissa Dawn Chintella attended and graduated from in
NPI Data:
- NPI Number: 1326398991
- Provider Enumeration Date: 09/11/2012
- Last Update Date: 12/11/2017
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Ms Jenissa Dawn Chintella such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1326398991 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
103T00000X | Psychologist | 1488 (South Carolina) | Primary |
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. Ms Jenissa Dawn Chintella 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 |
Ms Jenissa Dawn Chintella, 165 Hickory Ridge Way, Summerville, SC 29483-9759 Ph: (909) 709-2459 | Ms Jenissa Dawn Chintella, 4337 Blackwood St., Newubry Park, CA 91320 Ph: (909) 709-2459 |
Reviews and Comments