Jacqueline Jo Klossing, PHD in Iowa City, IA - Medicare Psychologist Provider

Jacqueline Jo Klossing, PHD is a medicare enrolled "Psychologist" provider in Iowa City, Iowa. Her current practice location is 100 Hawkins Dr, Iowa City, Iowa. You can reach out to her office (for appointments etc.) via phone at (319) 353-6900.

Jacqueline Jo Klossing is licensed to practice in Iowa (license number 112494) 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 1790262822.

Contact Information

	Jacqueline Jo Klossing, PHD
	100 Hawkins Dr, Iowa City, IA 52242-1016
	(319) 353-6900
	(319) 384-9393

Map and Direction

Healthcare Provider's Profile

Full Name	Jacqueline Jo Klossing
Gender	Female
Speciality	Psychologist
Location	100 Hawkins Dr, Iowa City, Iowa
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1790262822
Provider Enumeration Date: 07/21/2018
Last Update Date: 03/16/2022

Medicare PECOS Information:

PECOS PAC ID: 5193110781
Enrollment ID: I20220317001227

Medical Identifiers

Medical identifiers for Jacqueline Jo Klossing such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1790262822	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC2200X	Psychologist - Clinical Child & Adolescent	112494 (Iowa)	Secondary
103T00000X	Psychologist	112494 (Iowa)	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 Jo Klossing allows following entities to bill medicare on her behalf.

Entity Name	State University Of Iowa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1477554814 PECOS PAC ID: 7618884230 Enrollment ID: O20031107000060

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 Jo Klossing 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 Jo Klossing, PHD 200 Hawkins Dr, Iowa City, IA 52242-1009 Ph: (319) 353-6900	Jacqueline Jo Klossing, PHD 100 Hawkins Dr, Iowa City, IA 52242-1016 Ph: (319) 353-6900

Reviews and Comments

Psychologist in Iowa City, IA

Dr. Katherine Hadlandsmyth, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 200 Hawkins Dr, Iowa City, IA 52242 Phone: 319-335-6589
Hannah Jean Ottmar, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 601 Highway 6 W, Iowa City, IA 52246 Phone: 319-338-0581
Dr. Jessica Sarah Armer, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 601 Highway 6 W, Iowa City, IA 52246 Phone: 319-338-0581
Dr. Virginia Lee Stamler, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 123 N Linn St, Suite 2c, Iowa City, IA 52245 Phone: 319-354-7394 Fax: 319-354-0939
Dr. Rhonda Murray Mobley, PH.D Psychologist Medicare: Not Enrolled in Medicare Practice Location: 601 Highway 6 W, Iowa City, IA 52246 Phone: 319-338-0581
Wayne Bowers, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 200 Hawkins Dr, Iowa City, IA 52242 Phone: 319-353-6301 Fax: 319-356-2587
Gregory Leo Gullickson, PH D Psychologist Medicare: Medicare Enrolled Practice Location: 200 Hawkins Dr, Iowa City, IA 52242 Phone: 319-356-4200 Fax: 319-353-8383

Jacqueline Jo Klossing, PHD - Medicare Psychologist in Iowa City, IA