Jennifer Romans Burgoon, PHD, in Bennington, VT - Medicare Clinical Psychologist Provider

Jennifer Romans Burgoon, PHD, is a medicare enrolled "Psychologist - Clinical" provider in Bennington, Vermont. She graduated from medical school in 2013 and has 12 years of diverse experience with area of expertise as Clinical Psychologist. She is a member of the group practice Deer Oaks Mental Health Associates Pc and her current practice location is 160 Hospital Dr, Bennington, Vermont. You can reach out to her office (for appointments etc.) via phone at (210) 615-3483.

Jennifer Romans Burgoon is licensed to practice in Vermont (license number 048.0132428) 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 1144343054.

Contact Information

	Jennifer Romans Burgoon, PHD,
	160 Hospital Dr, Bennington, VT 05201-2279
	(210) 615-3483
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Jennifer Romans Burgoon
Gender	Female
Speciality	Clinical Psychologist
Experience	12 Years
Location	160 Hospital Dr, Bennington, Vermont
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:

Jennifer Romans Burgoon graduated from medical school in 2013

NPI Data:

NPI Number: 1144343054
Provider Enumeration Date: 04/06/2007
Last Update Date: 09/28/2021

Medicare PECOS Information:

PECOS PAC ID: 3779873583
Enrollment ID: I20181107000069

Medical Identifiers

Medical identifiers for Jennifer Romans Burgoon such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1144343054	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	PSY28112 (California)	Secondary
106H00000X	Marriage & Family Therapist	51200 (California)	Secondary
103TC0700X	Psychologist - Clinical	048.0132428 (Vermont)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Deer Oaks Mental Health Associates Pc	2264337013	44

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 Romans Burgoon allows following entities to bill medicare on her behalf.

Entity Name	Deer Oaks Mental Health Associates Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1134175763 PECOS PAC ID: 2264337013 Enrollment ID: O20040930000711

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 Romans Burgoon 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 Romans Burgoon, PHD, Po Box 4412, Bennington, VT 05201-4412 Ph: (802) 430-8355	Jennifer Romans Burgoon, PHD, 160 Hospital Dr, Bennington, VT 05201-2279 Ph: (210) 615-3483

Reviews and Comments

Psychologist in Bennington, VT

Bernard M Bandman, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 160 Benmont Ave, Bennington, VT 05201 Phone: 802-447-0037 Fax: 802-442-8721
Laura Budde, LICSW Psychologist Medicare: Not Enrolled in Medicare Practice Location: 100 Ledgehill Rd, Bennington, VT 05201 Phone: 802-442-5491 Fax: 802-442-4910
Barbara M Hand, MA Psychologist Medicare: Not Enrolled in Medicare Practice Location: 100 Ledgehill Rd, Bennington, VT 05201 Phone: 802-442-5491
Dr. Jeremy Ray Sullivan, PSY.D Psychologist Medicare: Medicare Enrolled Practice Location: 655 Main St, Bennington, VT 05201 Phone: 413-347-6679
Doris M Russell, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 100 Ledgehill Rd, Bennington, VT 05201 Phone: 802-442-5491 Fax: 802-442-3363
Paul Stitelman, LICSW Psychologist Medicare: Not Enrolled in Medicare Practice Location: 100 Ledgehill Rd, Bennington, VT 05201 Phone: 802-442-5491 Fax: 802-442-4910

Jennifer Romans Burgoon, PHD, - Medicare Psychologist in Bennington, VT