Jacqueline Rose Pfeifer, PHD | |
3515 S 4th St, Professional Association, Leavenworth, KS 66048 | |
(913) 651-8415 | |
(913) 772-8580 |
Full Name | Jacqueline Rose Pfeifer |
---|---|
Gender | Female |
Speciality | Clinical Psychologist |
Experience | 32 Years |
Location | 3515 S 4th St, Leavenworth, Kansas |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1710082078 | NPI | - | NPPES |
060779 | Other | KS | BLUE CROSS BLUE SHIELD |
004517 | Other | KS | BLUE CROSS BLUE SHIELD GR |
22447022 | Other | KANSAS CITY BLUE CROSS BL | |
1049473 | Other | CIGNA | |
7154171 | Other | AETNA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | 866 (Kansas) | Primary |
103T00000X | Psychologist | R0407 (Missouri) | Secondary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Frederick J Tirrell Phd Professional Association | 8224017157 | 4 |
Entity Name | Frederick J Tirrell Phd Professional Association |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013076215 PECOS PAC ID: 8224017157 Enrollment ID: O20050330000383 |
Mailing Address | Practice Location Address |
---|---|
Jacqueline Rose Pfeifer, PHD 18955 West 116th St, Olathe, KS 66061 Ph: (913) 888-2362 | Jacqueline Rose Pfeifer, PHD 3515 S 4th St, Professional Association, Leavenworth, KS 66048 Ph: (913) 651-8415 |
Dr. Paula L. Timmons, PH.D. Psychologist Medicare: Medicare Enrolled Practice Location: 4101 S 4th St, Leavenworth, KS 66048 Phone: 913-682-2000 Fax: 913-758-4273 | |
Dr. Kylie L Dowell, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 4101 S 4th St, Leavenworth, KS 66048 Phone: 913-682-2000 | |
Deborah Lynn Weidinger, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 3515 S 4th Street, Professional Association, Leavenworth, KS 66048 Phone: 913-651-8415 Fax: 913-772-8580 | |
Dr. Amber D. Guzman, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 4101 S 4th St, Leavenworth, KS 66048 Phone: 913-682-2000 Fax: 913-946-1561 | |
Jim Sharpnack, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 500 Limit St, Leavenworth, KS 66048 Phone: 913-682-5118 Fax: 913-682-4664 | |
Dakota Mcnamara Thornblade, LMLP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 500 Limit St, Leavenworth, KS 66048 Phone: 913-682-4664 | |
Dr. Erin Elisabeth Mills, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 4101 S 4th St, Leavenworth, KS 66048 Phone: 913-682-2000 |