Dr Jennifer L Tedesco, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Byram Township, New Jersey. She graduated from medical school in 2000 and has 25 years of diverse experience with area of expertise as Clinical Psychologist. Her current practice location is
2 Cub Lake Rd, Byram Township, New Jersey. You can reach out to her office (for appointments etc.) via phone at
(267) 254-2111.
Dr Jennifer L Tedesco is licensed to practice in New Jersey (license number 35SI00535900) 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 1992730022.
Healthcare Provider's Profile
| Full Name | Dr Jennifer L Tedesco |
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| Gender | Female |
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| Speciality | Clinical Psychologist |
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| Experience | 25 Years |
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| Location | 2 Cub Lake Rd, Byram Township, New Jersey |
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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. |
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Medical Education and Training:
- Dr Jennifer L Tedesco graduated from medical school in 2000
NPI Data:
- NPI Number: 1992730022
- Provider Enumeration Date: 07/11/2006
- Last Update Date: 10/17/2024
Medicare PECOS Information:
- PECOS PAC ID: 6507766474
- Enrollment ID: I20240115000069
Medical Identifiers
Medical identifiers for Dr Jennifer L Tedesco such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1992730022 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 103T00000X | Psychologist | B1-0000944 (Delaware) | Secondary |
| 103T00000X | Psychologist | PS015060 (Pennsylvania) | Secondary |
| 103T00000X | Psychologist | 016381-1 (New York) | Secondary |
| 103TC0700X | Psychologist - Clinical | 35SI00535900 (New Jersey) | 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 Jennifer L Tedesco allows following entities to bill medicare on her behalf.
| Entity Name | Present Center For Mindfulness And Healing |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1114468055
PECOS PAC ID: 3173975208
Enrollment ID: O20240115000031 |
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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 Jennifer L Tedesco 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 |
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Dr Jennifer L Tedesco, PSYD
2 Cub Lake Rd,
Byram Township, NJ 07821-4050
Ph: (267) 254-2111 | Dr Jennifer L Tedesco, PSYD
2 Cub Lake Rd,
Byram Township, NJ 07821-4050
Ph: (267) 254-2111 |
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