Dr Jacob Levi Priluck, PSYD is a medicare enrolled "Clinical Neuropsychologist" provider in Springfield, Virginia. His current practice location is
6120 Brandon Ave, Springfield, Virginia. You can reach out to his office (for appointments etc.) via phone at
(917) 783-0634.
Dr Jacob Levi Priluck is licensed to practice in Virginia (license number 0810006056) 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 1992289425.
Healthcare Provider's Profile
Full Name | Dr Jacob Levi Priluck |
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Gender | Male |
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Speciality | Clinical Neuropsychologist |
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Location | 6120 Brandon Ave, Springfield, Virginia |
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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: 1992289425
- Provider Enumeration Date: 09/20/2018
- Last Update Date: 01/19/2023
Medicare PECOS Information:
- PECOS PAC ID: 8426392903
- Enrollment ID: I20190221002790
Medical Identifiers
Medical identifiers for Dr Jacob Levi Priluck such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1992289425 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103TC0700X | Psychologist - Clinical | 0810006056 (Virginia) | Secondary |
103G00000X | Clinical Neuropsychologist | 0810006056 (Virginia) | 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. Dr Jacob Levi Priluck 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 Jacob Levi Priluck, PSYD 1501 Sulgrave Ave Ste 209, Baltimore, MD 21209-3650 Ph: (917) 783-0634 | Dr Jacob Levi Priluck, PSYD 6120 Brandon Ave, Springfield, VA 22150-2522 Ph: (917) 783-0634 |
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