Dr Jack Jaffe, PSYD in Dallas, TX - Medicare Psychologist Provider

Dr Jack Jaffe, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Dallas, Texas. His current practice location is 6330 Lyndon B Johnson Fwy Ste 130, Dallas, Texas. You can reach out to his office (for appointments etc.) via phone at (972) 693-5485.

Dr Jack Jaffe is licensed to practice in Texas (license number 31536) 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 1144334269.

Contact Information

	Dr Jack Jaffe, PSYD
	6330 Lyndon B Johnson Fwy Ste 130, Dallas, TX 75240-6443
	(972) 693-5485
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Jack Jaffe
Gender	Male
Speciality	Psychologist - Clinical
Location	6330 Lyndon B Johnson Fwy Ste 130, Dallas, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1144334269
Provider Enumeration Date: 08/18/2006
Last Update Date: 11/21/2022

Medicare PECOS Information:

PECOS PAC ID: 9234366683
Enrollment ID: I20131211000439

Medical Identifiers

Medical identifiers for Dr Jack Jaffe such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1144334269	NPI	-	NPPES
149708301	Medicaid	TX
86707A	Other	TX	BLUE CROSS BLUE SHIELD

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	31536 (Texas)	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 Jack Jaffe allows following entities to bill medicare on his behalf.

Entity Name	Brightside Medical Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1801355482 PECOS PAC ID: 6608262464 Enrollment ID: O20230403000549

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 Jack Jaffe 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 Jack Jaffe, PSYD 7422 Foxworth Dr, Dallas, TX 75248-3038 Ph: (972) 693-5485	Dr Jack Jaffe, PSYD 6330 Lyndon B Johnson Fwy Ste 130, Dallas, TX 75240-6443 Ph: (972) 693-5485

Reviews and Comments

Psychologist in Dallas, TX

Dr. Kristen M. Ohlenforst, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 12800 Hillcrest Rd # A124, Dallas, TX 75230 Phone: 214-755-6119
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Dr. Aaron Hands, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 5646 Milton St Ste 740, Dallas, TX 75206 Phone: 972-729-9134
Julia Evans, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 4500 S Lancaster Rd, Dallas, TX 75216 Phone: 214-857-4279
Dr. Joyzelle Herod Mccreary, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 8200 Walnut Hill Ln, Department Of Psychiatry, Dallas, TX 75231 Phone: 214-345-7355 Fax: 214-345-8753
Barbara J Inman, PHD Psychologist Medicare: Medicare Enrolled Practice Location: 5501 Bryan St, Dallas, TX 75206 Phone: 214-828-2603 Fax: 214-828-4954
Dr. Paul Samuel Silver, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 9400 North Central Expressway, Suite 1212, Dallas, TX 75231 Phone: 214-373-9631

Dr Jack Jaffe, PSYD - Medicare Psychologist in Dallas, TX