Dr Jeanine R Standard, PH D LCPC - Medicare Psychologist in Peoria, IL

Dr Jeanine R Standard, PH D LCPC is a medicare enrolled "Psychologist" provider in Peoria, Illinois. She graduated from medical school in 2003 and has 21 years of diverse experience with area of expertise as Clinical Psychologist. Her current practice location is 6615 N Big Hollow Rd, Peoria, Illinois. You can reach out to her office (for appointments etc.) via phone at (309) 692-6622.

Dr Jeanine R Standard is licensed to practice in * (Not Available) (license number ) and she also participates in the medicare program. She may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1790888311.

Contact Information

Dr Jeanine R Standard, PH D LCPC
6615 N Big Hollow Rd,
Peoria, IL 61615-2451
(309) 692-6622
(309) 692-6952

Map and Direction




Healthcare Provider's Profile

Full NameDr Jeanine R Standard
GenderFemale
SpecialityClinical Psychologist
Experience21 Years
Location6615 N Big Hollow Rd, Peoria, Illinois
Accepts Medicare AssignmentsMay be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Jeanine R Standard graduated from medical school in 2003
  NPI Data:
  • NPI Number: 1790888311
  • Provider Enumeration Date: 09/07/2006
  • Last Update Date: 12/02/2009
  Medicare PECOS Information:
  • PECOS PAC ID: 4587660394
  • Enrollment ID: I20061018000059

Medical Identifiers

Medical identifiers for Dr Jeanine R Standard such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1790888311NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103T00000XPsychologist (* (Not Available))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 Jeanine R Standard allows following entities to bill medicare on her behalf.
Entity NameJeanine Standard Metamorphosis Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1427401504
PECOS PAC ID: 5193018919
Enrollment ID: O20160801000772

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 Jeanine R Standard 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 AddressPractice Location Address
Dr Jeanine R Standard, PH D LCPC
6615 N Big Hollow Rd,
Peoria, IL 61615-2451

Ph: (309) 692-6622
Dr Jeanine R Standard, PH D LCPC
6615 N Big Hollow Rd,
Peoria, IL 61615-2451

Ph: (309) 692-6622

Reviews and Comments


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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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