Dr Jayne D Hagen, PHD is a medicare enrolled "Clinical Neuropsychologist" provider in Berkeley, California. Her current practice location is
1213 Masonic Ave, Berkeley, California. You can reach out to her office (for appointments etc.) via phone at
(510) 778-4055.
Dr Jayne D Hagen is licensed to practice in California (license number PSY22689) 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 1104087071.
Healthcare Provider's Profile
Full Name | Dr Jayne D Hagen |
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Gender | Female |
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Speciality | Clinical Neuropsychologist |
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Location | 1213 Masonic Ave, Berkeley, California |
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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: 1104087071
- Provider Enumeration Date: 06/23/2008
- Last Update Date: 10/29/2020
Medicare PECOS Information:
- PECOS PAC ID: 3779621560
- Enrollment ID: I20160921000182
Medical Identifiers
Medical identifiers for Dr Jayne D Hagen such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1104087071 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103TC0700X | Psychologist - Clinical | PSY22689 (California) | Secondary |
103G00000X | Clinical Neuropsychologist | PSY22689 (California) | 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 Jayne D Hagen 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 Jayne D Hagen, PHD 1213 Masonic Ave, Berkeley, CA 94706-2329 Ph: (510) 778-4055 | Dr Jayne D Hagen, PHD 1213 Masonic Ave, Berkeley, CA 94706 Ph: (510) 778-4055 |
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