Dr Jessica Henninger, PSYD, is a medicare enrolled "Counselor - Mental Health" provider in Philadelphia, Pennsylvania. Her current practice location is
1235 Pine St, Philadelphia, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at
(215) 735-9379.
Dr Jessica Henninger is licensed to practice in * (Not Available) (license number ) 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 1366841298.
Healthcare Provider's Profile
Full Name | Dr Jessica Henninger |
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Gender | Female |
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Speciality | Counselor - Mental Health |
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Location | 1235 Pine St, Philadelphia, Pennsylvania |
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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: 1366841298
- Provider Enumeration Date: 08/15/2014
- Last Update Date: 10/13/2022
Medicare PECOS Information:
- PECOS PAC ID: 0648649509
- Enrollment ID: I20221215001426
Medical Identifiers
Medical identifiers for Dr Jessica Henninger such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1366841298 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103T00000X | Psychologist | PS019704 (Pennsylvania) | Secondary |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | 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 Jessica Henninger allows following entities to bill medicare on her behalf.
Entity Name | Philadelphia Center For Psychotherapy |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1396497640 PECOS PAC ID: 7416341474 Enrollment ID: O20220308002642 |
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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 Jessica Henninger 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 Jessica Henninger, PSYD, 255 S 17th St, Philadelphia, PA 19103-6231 Ph: (267) 209-3209 | Dr Jessica Henninger, PSYD, 1235 Pine St, Philadelphia, PA 19107-5945 Ph: (215) 735-9379 |
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