Jacqueline Kennedy, PSYD in Toledo, OH - Medicare Clinical Psychologist Provider

Jacqueline Kennedy, PSYD is a medicare enrolled "Psychologist" provider in Toledo, Ohio. She graduated from medical school in 1997 and has 28 years of diverse experience with area of expertise as Clinical Psychologist. She is a member of the group practice State Of Ohio Office Of Budget And Management State Accounting and her current practice location is 930 S Detroit Ave, Toledo, Ohio. You can reach out to her office (for appointments etc.) via phone at (419) 381-1881.

Jacqueline Kennedy is licensed to practice in Ohio (license number 5546) 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 1336235621.

Contact Information

	Jacqueline Kennedy, PSYD
	930 S Detroit Ave, Toledo, OH 43614-2701
	(419) 381-1881
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Jacqueline Kennedy
Gender	Female
Speciality	Clinical Psychologist
Experience	28 Years
Location	930 S Detroit Ave, Toledo, Ohio
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Jacqueline Kennedy graduated from medical school in 1997

NPI Data:

NPI Number: 1336235621
Provider Enumeration Date: 10/05/2006
Last Update Date: 07/21/2022

Medicare PECOS Information:

PECOS PAC ID: 0547440307
Enrollment ID: I20110210000815

Medical Identifiers

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

Identifier	Type	State	Issuer
1336235621	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	5546 (Ohio)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
State Of Ohio Office Of Budget And Management State Accounting	0143133181	103

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 Kennedy allows following entities to bill medicare on her behalf.

Entity Name	State Of Ohio Office Of Budget And Management State Accounting
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1023082716 PECOS PAC ID: 0143133181 Enrollment ID: O20031202000209

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 Kennedy 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 Kennedy, PSYD 30 E Broad St, 11th Fl Attn: Tonya Fasone, Columbus, OH 43215-3414 Ph: (614) 466-9930	Jacqueline Kennedy, PSYD 930 S Detroit Ave, Toledo, OH 43614-2701 Ph: (419) 381-1881

Reviews and Comments

Psychologist in Toledo, OH

Danielle R Delong, PSY.D. Psychologist Medicare: Medicare Enrolled Practice Location: 2109 Hughes Dr, Conrad-jobst Tower, Suite 640, Toledo, OH 43606 Phone: 419-291-8892
Dr. Kathleen Frances Baird, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2249 Wildwood Blvd, Toledo, OH 43614 Phone: 419-382-5766
Manali Roy, M.SC., MA Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2005 Ashland Ave, Toledo, OH 43620 Phone: 419-841-7701
Dr. Janice Shirley Roberts, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2624 Pheasant Ln, Toledo, OH 43615 Phone: 419-885-1156 Fax: 419-885-1156
Sarah Bush, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3901 Shadylawn Dr, Toledo, OH 43614 Phone: 419-671-2750
Robert James Cooley, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 930 S Detroit Ave, Toledo, OH 43614 Phone: 419-381-1881
Meredith Erwin, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1200 S Detroit Ave, Toledo, OH 43614 Phone: 419-259-2000

Jacqueline Kennedy, PSYD - Medicare Psychologist in Toledo, OH