Dr Terri Elana Jennings, PHD is a medicare enrolled "Psychologist" provider in Blue Lake, California. She graduated from medical school in 2002 and has 22 years of diverse experience with area of expertise as Clinical Psychologist. She is a member of the group practice Healing Strides Psychotherapy, Inc. and her current practice location is
Po Box 1006, Blue Lake, California. You can reach out to her office (for appointments etc.) via phone at
(707) 845-8737.
Dr Terri Elana Jennings is licensed to practice in California (license number PSY27263) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1568611861.
Healthcare Provider's Profile
| Full Name | Dr Terri Elana Jennings |
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| Gender | Female |
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| Speciality | Clinical Psychologist |
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| Experience | 22 Years |
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| Location | Po Box 1006, Blue Lake, California |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Terri Elana Jennings graduated from medical school in 2002
NPI Data:
- NPI Number: 1568611861
- Provider Enumeration Date: 09/11/2008
- Last Update Date: 08/19/2019
Medicare PECOS Information:
- PECOS PAC ID: 6608930581
- Enrollment ID: I20151002000969
Medical Identifiers
Medical identifiers for Dr Terri Elana Jennings such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1568611861 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 103T00000X | Psychologist | PY6802 (Florida) | Secondary |
| 103T00000X | Psychologist | PSY27263 (California) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Healing Strides Psychotherapy, Inc. | 3173831674 | 3 |
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 Terri Elana Jennings allows following entities to bill medicare on her behalf.
| Entity Name | Healing Strides Psychotherapy, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1124400155
PECOS PAC ID: 3173831674
Enrollment ID: O20151002001186 |
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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 Terri Elana Jennings 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 |
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Dr Terri Elana Jennings, PHD
1897 Maplewood Dr,
Mckinleyville, CA 95519-7139
Ph: (707) 845-8737 | Dr Terri Elana Jennings, PHD
Po Box 1006,
Blue Lake, CA 95525-1006
Ph: (707) 845-8737 |
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