Dr Jennie May Cassidy, PHD is a medicare enrolled "Psychologist - Group Psychotherapy" provider in Conway, South Carolina. She graduated from medical school in 1994 and has 30 years of diverse experience with area of expertise as Clinical Psychologist. Her current practice location is
204 University Blvd., Coastal Carolina University, Conway, South Carolina. You can reach out to her office (for appointments etc.) via phone at
(843) 349-2305.
Dr Jennie May Cassidy is licensed to practice in South Carolina (license number 1042) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1184752495.
Healthcare Provider's Profile
Full Name | Dr Jennie May Cassidy |
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Gender | Female |
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Speciality | Clinical Psychologist |
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Experience | 30 Years |
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Location | 204 University Blvd., Conway, South Carolina |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Dr Jennie May Cassidy graduated from medical school in 1994
NPI Data:
- NPI Number: 1184752495
- Provider Enumeration Date: 02/28/2007
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 2163851759
- Enrollment ID: I20200402001370
Medical Identifiers
Medical identifiers for Dr Jennie May Cassidy such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1184752495 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103TC1900X | Psychologist - Counseling | 1042 (South Carolina) | Primary |
103T00000X | Psychologist | 1042 (South Carolina) | Primary |
103TP2701X | Psychologist - Group Psychotherapy | 1042 (South Carolina) | 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 Jennie May Cassidy allows following entities to bill medicare on her behalf.
Entity Name | Jennie Cassidy Psychologist Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1447884705 PECOS PAC ID: 1254760846 Enrollment ID: O20200402001265 |
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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 Jennie May Cassidy 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 Jennie May Cassidy, PHD 280 Barclay Dr, Myrtle Beach, SC 29579-6572 Ph: (843) 685-2125 | Dr Jennie May Cassidy, PHD 204 University Blvd., Coastal Carolina University, Conway, SC 29528-6054 Ph: (843) 349-2305 |
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