Dr Jennifer Fuentes Perez, PSYD is a
Psychologist - Clinical based in Mustang, Oklahoma. Dr Jennifer Fuentes Perez is licensed to practice in Florida (license number PY12114) and her current practice location is
5305 Malpaso Creek Dr, Mustang, Oklahoma. She can be reached at her office (for appointments etc.) via phone at
(843) 304-1431.
NPI number for Dr Jennifer Fuentes Perez is 1851639207 and her current mailing address is 6421 N Florida Ave, D-557, Tampa, Florida. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1851639207.
Healthcare Provider's Profile
Full Name | Dr Jennifer Fuentes Perez |
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Gender | Female |
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Speciality | Psychologist - Clinical |
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Location | 5305 Malpaso Creek Dr, Mustang, Oklahoma |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1851639207
- Provider Enumeration Date: 01/18/2013
- Last Update Date: 01/22/2024
Medical Identifiers
Medical identifiers for Dr Jennifer Fuentes Perez such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1851639207 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103TC0700X | Psychologist - Clinical | PY12114 (Florida) | Primary |
103TC0700X | Psychologist - Clinical | 004555 (Puerto Rico) | Secondary |
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 Jennifer Fuentes Perez is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Jennifer Fuentes Perez, PSYD 6421 N Florida Ave, D-557, Tampa, FL 33604 Ph: (843) 304-1431 | Dr Jennifer Fuentes Perez, PSYD 5305 Malpaso Creek Dr, Mustang, OK 73064-4881 Ph: (843) 304-1431 |
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