Dr Jeremy Dale Jinkerson, PHD is a medicare enrolled "Clinical Neuropsychologist" provider in Travis Afb, California. His current practice location is
101 Bodin Cir, Travis Afb, California. You can reach out to his office (for appointments etc.) via phone at
(210) 916-7641.
Dr Jeremy Dale Jinkerson is licensed to practice in Virginia (license number 0810005876) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1760629315.
Healthcare Provider's Profile
Full Name | Dr Jeremy Dale Jinkerson |
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Gender | Male |
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Speciality | Clinical Neuropsychologist |
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Location | 101 Bodin Cir, Travis Afb, California |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1760629315
- Provider Enumeration Date: 01/18/2009
- Last Update Date: 07/21/2023
Medicare PECOS Information:
- PECOS PAC ID: 4486017563
- Enrollment ID: I20230823002265
Medical Identifiers
Medical identifiers for Dr Jeremy Dale Jinkerson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1760629315 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103TC0700X | Psychologist - Clinical | 0810005876 (Virginia) | Secondary |
103G00000X | Clinical Neuropsychologist | 0810005876 (Virginia) | Primary |
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 Jeremy Dale Jinkerson 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 Jeremy Dale Jinkerson, PHD 101 Bodin Cir, Travis Afb, CA 94535-1809 Ph: () - | Dr Jeremy Dale Jinkerson, PHD 101 Bodin Cir, Travis Afb, CA 94535-1809 Ph: (210) 916-7641 |
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