Dr Jordan Danielle Lee, PSYD in Oakland, CA - Medicare Psychologist Provider

Dr Jordan Danielle Lee, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Oakland, California. Her current practice location is 3505 Broadway Fl 4, Oakland, California. You can reach out to her office (for appointments etc.) via phone at (510) 752-5324.

Dr Jordan Danielle Lee is licensed to practice in California (license number PSY34305) 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 1689352163.

Contact Information

	Dr Jordan Danielle Lee, PSYD
	3505 Broadway Fl 4, Oakland, CA 94611-5798
	(510) 752-5324
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Jordan Danielle Lee
Gender	Female
Speciality	Psychologist - Clinical
Location	3505 Broadway Fl 4, Oakland, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1689352163
Provider Enumeration Date: 07/06/2023
Last Update Date: 07/06/2023

Medicare PECOS Information:

PECOS PAC ID: 2769829340
Enrollment ID: I20240318003824

Medical Identifiers

Medical identifiers for Dr Jordan Danielle Lee such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1689352163	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	PSY34305 (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 Jordan Danielle Lee 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 Jordan Danielle Lee 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 Jordan Danielle Lee, PSYD 3505 Broadway Fl 4, Oakland, CA 94611-5798 Ph: () -	Dr Jordan Danielle Lee, PSYD 3505 Broadway Fl 4, Oakland, CA 94611-5798 Ph: (510) 752-5324

Reviews and Comments

Psychologist in Oakland, CA

Dr. Ronald C. Kimmons, PSYD, MSW, MA Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2303 25th Ave, Oakland, CA 94601 Phone: 510-219-6405
Dr. Morgan E Bartholomew, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 970 Aileen St, Oakland, CA 94608 Phone: 661-992-6871
Dr. Dina Divsalar, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 711 Calmar Ave, Oakland, CA 94610 Phone: 510-206-3973
Dr. Cheryl Jacques, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 5665 College Ave Ste 320c, Oakland, CA 94618 Phone: 510-653-0678 Fax: 510-898-9889
Anna Wong, PSY Psychologist Medicare: Not Enrolled in Medicare Practice Location: 275 W Macarthur, Oakland, CA 94611 Phone: 510-752-1000 Fax: 510-752-1404
Debbie Rieza, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 400 29th St Ste 105, Oakland, CA 94609 Phone: 510-268-8120
Nadrienne A Pinnock, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3301 E 12th St, Oakland, CA 94601 Phone: 510-269-9030

Dr Jordan Danielle Lee, PSYD - Medicare Psychologist in Oakland, CA