Dr Jennifer Tickal, PSYD in Maitland, FL - Medicare Psychologist Provider

Dr Jennifer Tickal, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Maitland, Florida. Her current practice location is 1555 N Maitland Ave, Maitland, Florida. You can reach out to her office (for appointments etc.) via phone at (813) 563-5676.

Dr Jennifer Tickal is licensed to practice in Florida (license number PY 8723) 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 1073823266.

Contact Information

	Dr Jennifer Tickal, PSYD
	1555 N Maitland Ave, Maitland, FL 32751-3325
	(813) 563-5676
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Jennifer Tickal
Gender	Female
Speciality	Psychologist - Clinical
Location	1555 N Maitland Ave, Maitland, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1073823266
Provider Enumeration Date: 10/21/2010
Last Update Date: 01/18/2021

Medicare PECOS Information:

PECOS PAC ID: 1052614724
Enrollment ID: I20160408000394

Medical Identifiers

Medical identifiers for Dr Jennifer Tickal such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1073823266	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	PY 8723 (Florida)	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 Tickal allows following entities to bill medicare on her behalf.

Entity Name	Jennifer Tickal, Psyd., P.a.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1023477221 PECOS PAC ID: 2062701253 Enrollment ID: O20160511000689

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 Tickal 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 Jennifer Tickal, PSYD 2328 Foliage Oak Ter, Oviedo, FL 32766-7021 Ph: (813) 563-5676	Dr Jennifer Tickal, PSYD 1555 N Maitland Ave, Maitland, FL 32751-3325 Ph: (813) 563-5676

Reviews and Comments

Psychologist in Maitland, FL

Ambar Medina, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 414 Lake Howell Rd, Maitland, FL 32751 Phone: 407-637-2633
Dr. Kristin Patrice Girardot, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 500 N Maitland Ave, Suite 110, Maitland, FL 32751 Phone: 407-808-7852
Eduardo Ysern, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 331 N Maitland Ave Ste C3, Maitland, FL 32751 Phone: 407-634-3515
Elizabeth Carges, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 500 N Maitland Ave, Suite 110, Maitland, FL 32751 Phone: 407-628-5354 Fax: 407-628-0254
Louis Appiah-kubi, PSY.D Psychologist Medicare: Medicare Enrolled Practice Location: 341 N Maitland Ave Ste 340, Maitland, FL 32751 Phone: 407-219-3281
Patricia Labrot, M,ED., NCSP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 237 Lookout Pl Ste 150, Maitland, FL 32751 Phone: 407-462-1323

Dr Jennifer Tickal, PSYD - Medicare Psychologist in Maitland, FL