Dr Jennifer Wydro, PSYD in Berkeley, CA - Medicare Psychologist Provider

Dr Jennifer Wydro, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Berkeley, California. Her current practice location is 2640 Martin Luther King Jr Way, Berkeley, California. You can reach out to her office (for appointments etc.) via phone at (510) 981-5254.

Dr Jennifer Wydro is licensed to practice in California (license number PSY22254) 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 1346345485.

Contact Information

	Dr Jennifer Wydro, PSYD
	2640 Martin Luther King Jr Way, Berkeley, CA 94704-3238
	(510) 981-5254
	(510) 981-6525

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Jennifer Wydro
Gender	Female
Speciality	Psychologist - Clinical
Location	2640 Martin Luther King Jr Way, Berkeley, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1346345485
Provider Enumeration Date: 09/13/2006
Last Update Date: 10/25/2022

Medicare PECOS Information:

PECOS PAC ID: 6204022437
Enrollment ID: I20101130000317

Medical Identifiers

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

Identifier	Type	State	Issuer
1346345485	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	PSY22254 (California)	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 Wydro allows following entities to bill medicare on her behalf.

Entity Name	Permanente Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710

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 Wydro 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 Wydro, PSYD 2640 Martin Luther King Jr Way, Berkeley, CA 94704-3238 Ph: (510) 981-5254	Dr Jennifer Wydro, PSYD 2640 Martin Luther King Jr Way, Berkeley, CA 94704-3238 Ph: (510) 981-5254

Reviews and Comments

Psychologist in Berkeley, CA

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Dr. Michael Christopher Changaris, PSY.D. LIC#:PSY24712 Psychologist Medicare: Medicare Enrolled Practice Location: 771 San Luis Rd, Berkeley, CA 94707 Phone: 510-214-2559
Dr. Matthew Reader Goodman, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2222 Bancroft Way Spc 4300, Berkeley, CA 94720 Phone: 510-642-0695

Dr Jennifer Wydro, PSYD - Medicare Psychologist in Berkeley, CA