Jacqueline D Foster, PHD is a medicare enrolled "Clinical Neuropsychologist" provider in Sherman Oaks, California. Her current practice location is
13400 Riverside Dr, Suite 318, Sherman Oaks, California. You can reach out to her office (for appointments etc.) via phone at
(818) 469-2923.
Jacqueline D Foster is licensed to practice in California (license number 13884) 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 1982027546.
Healthcare Provider's Profile
Full Name | Jacqueline D Foster |
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Gender | Female |
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Speciality | Clinical Neuropsychologist |
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Location | 13400 Riverside Dr, Sherman Oaks, 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: 1982027546
- Provider Enumeration Date: 01/31/2014
- Last Update Date: 11/23/2021
Medicare PECOS Information:
- PECOS PAC ID: 8426373499
- Enrollment ID: I20150216000105
Medical Identifiers
Medical identifiers for Jacqueline D Foster such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1982027546 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103TB0200X | Psychologist - Cognitive & Behavioral | 13884 (California) | Secondary |
103G00000X | Clinical Neuropsychologist | 13884 (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. Jacqueline D Foster allows following entities to bill medicare on her behalf.
Entity Name | Southern California Permanente Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678 |
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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. Jacqueline D Foster 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 |
Jacqueline D Foster, PHD Po Box 5104, Chatsworth, CA 91313-5104 Ph: (818) 469-2923 | Jacqueline D Foster, PHD 13400 Riverside Dr, Suite 318, Sherman Oaks, CA 91423-2500 Ph: (818) 469-2923 |
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