Dr Jack Dempsey, PHD is a medicare enrolled "Clinical Neuropsychologist" provider in Aurora, Colorado. His current practice location is
13123 E 16th Ave, Aurora, Colorado. You can reach out to his office (for appointments etc.) via phone at
(720) 777-1234.
Dr Jack Dempsey is licensed to practice in Colorado (license number PSY.0004714) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1710249362.
Healthcare Provider's Profile
| Full Name | Dr Jack Dempsey |
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| Gender | Male |
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| Speciality | Clinical Neuropsychologist |
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| Location | 13123 E 16th Ave, Aurora, Colorado |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1710249362
- Provider Enumeration Date: 06/11/2012
- Last Update Date: 09/10/2021
Medicare PECOS Information:
- PECOS PAC ID: 2466607437
- Enrollment ID: I20130222000245
Medical Identifiers
Medical identifiers for Dr Jack Dempsey such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1710249362 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 103TS0200X | Psychologist - School | 36106 (Texas) | Secondary |
| 103G00000X | Clinical Neuropsychologist | PSY.0004714 (Colorado) | Primary |
| 103TC2200X | Psychologist - Clinical Child & Adolescent | PSY.0004714 (Colorado) | Secondary |
| 103TC2200X | Psychologist - Clinical Child & Adolescent | 36106 (Texas) | Secondary |
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 Jack Dempsey allows following entities to bill medicare on his behalf.
| Entity Name | Texas Childrens Physician Group |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1861675506
PECOS PAC ID: 4385722081
Enrollment ID: O20080422000209 |
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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 Jack Dempsey 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 Jack Dempsey, PHD
Po Box 110429,
Aurora, CO 80042-0429
Ph: () - | Dr Jack Dempsey, PHD
13123 E 16th Ave,
Aurora, CO 80045
Ph: (720) 777-1234 |
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