Amber D Jelinek, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Industry, Illinois. Her current practice location is
1930 E 1650th St, Industry, Illinois. You can reach out to her office (for appointments etc.) via phone at
(417) 343-1432.
Amber D Jelinek is licensed to practice in Illinois (license number 071.008262) 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 1114663051.
Healthcare Provider's Profile
Full Name | Amber D Jelinek |
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Gender | Female |
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Speciality | Psychologist - Clinical |
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Location | 1930 E 1650th St, Industry, Illinois |
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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: 1114663051
- Provider Enumeration Date: 05/11/2022
- Last Update Date: 05/11/2022
Medicare PECOS Information:
- PECOS PAC ID: 7810341294
- Enrollment ID: I20231004001249
Medical Identifiers
Medical identifiers for Amber D Jelinek such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1114663051 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103TC0700X | Psychologist - Clinical | 071.008262 (Illinois) | 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. Amber D Jelinek allows following entities to bill medicare on her behalf.
Entity Name | Edgewood Clinical Services P.c. |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1295914646 PECOS PAC ID: 3971963901 Enrollment ID: O20230721001228 |
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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. Amber D Jelinek 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 |
Amber D Jelinek, PSYD 1930 E 1650th St, Industry, IL 61440-9490 Ph: (417) 343-1432 | Amber D Jelinek, PSYD 1930 E 1650th St, Industry, IL 61440-9490 Ph: (417) 343-1432 |
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