Dr Jacqueline Sue Degroat, MSED, PSYD in Brooklyn, NY

Dr Jacqueline Sue Degroat, MSED, PSYD is a medicare enrolled "Psychologist - Clinical Child & Adolescent" provider in Brooklyn, New York. Her current practice location is 816 Ditmas Ave, Brooklyn, New York. You can reach out to her office (for appointments etc.) via phone at (718) 531-1800.

Dr Jacqueline Sue Degroat is licensed to practice in New York (license number 018431-1) 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 1073843462.

Contact Information

	Dr Jacqueline Sue Degroat, MSED, PSYD
	816 Ditmas Ave, Brooklyn, NY 11218-5204
	(718) 531-1800
	(718) 859-5909

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Jacqueline Sue Degroat
Gender	Female
Speciality	Psychologist - Clinical Child & Adolescent
Location	816 Ditmas Ave, Brooklyn, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1073843462
Provider Enumeration Date: 01/06/2010
Last Update Date: 08/25/2023

Medicare PECOS Information:

PECOS PAC ID: 0749644557
Enrollment ID: I20230913000212

Medical Identifiers

Medical identifiers for Dr Jacqueline Sue Degroat such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1073843462	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TS0200X	Psychologist - School	(New York)	Secondary
103TC2200X	Psychologist - Clinical Child & Adolescent	018431-1 (New York)	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. Dr Jacqueline Sue Degroat allows following entities to bill medicare on her behalf.

Entity Name	Community Assistance Resources & Extended Services Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1396049987 PECOS PAC ID: 9931321320 Enrollment ID: O20141120000352

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 Jacqueline Sue Degroat 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 Jacqueline Sue Degroat, MSED, PSYD 816 Ditmas Ave, Brooklyn, NY 11218-5204 Ph: (718) 531-1800	Dr Jacqueline Sue Degroat, MSED, PSYD 816 Ditmas Ave, Brooklyn, NY 11218-5204 Ph: (718) 531-1800

Reviews and Comments

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Dr Jacqueline Sue Degroat, MSED, PSYD - Medicare Psychologist in Brooklyn, NY