Jacqueline Stephanie Hidalgo, PSY-D in Fort Myers, FL - Medicare Clinical Psychologist Provider

Jacqueline Stephanie Hidalgo, PSY-D is a medicare enrolled "Psychologist" provider in Fort Myers, Florida. She graduated from medical school in 2016 and has 9 years of diverse experience with area of expertise as Clinical Psychologist. She is a member of the group practice Lee Memorial Health System and her current practice location is 2780 Cleveland Ave Ste 709, Fort Myers, Florida. You can reach out to her office (for appointments etc.) via phone at (239) 343-3831.

Jacqueline Stephanie Hidalgo is licensed to practice in Florida (license number PY9966) 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 1952828832.

Contact Information

	Jacqueline Stephanie Hidalgo, PSY-D
	2780 Cleveland Ave Ste 709, Fort Myers, FL 33901-5857
	(239) 343-3831
	(239) 343-2301

Map and Direction

Healthcare Provider's Profile

Full Name	Jacqueline Stephanie Hidalgo
Gender	Female
Speciality	Clinical Psychologist
Experience	9 Years
Location	2780 Cleveland Ave Ste 709, Fort Myers, Florida
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 Stephanie Hidalgo graduated from medical school in 2016

NPI Data:

NPI Number: 1952828832
Provider Enumeration Date: 08/23/2017
Last Update Date: 03/25/2021

Medicare PECOS Information:

PECOS PAC ID: 7113293317
Enrollment ID: I20171016001384

Medical Identifiers

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

Identifier	Type	State	Issuer
1952828832	NPI	-	NPPES
100459600	Medicaid	FL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	PY9966 (Florida)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary
103T00000X	Psychologist	PY9966 (Florida)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Lee Memorial Health System	8729996608	1073

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 Stephanie Hidalgo allows following entities to bill medicare on her behalf.

Entity Name	Lee Memorial Health System
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1992873319 PECOS PAC ID: 8729996608 Enrollment ID: O20031118000604

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 Stephanie Hidalgo 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 Stephanie Hidalgo, PSY-D Po Box 2147, Fort Myers, FL 33902-2147 Ph: (239) 343-3831	Jacqueline Stephanie Hidalgo, PSY-D 2780 Cleveland Ave Ste 709, Fort Myers, FL 33901-5857 Ph: (239) 343-3831

Reviews and Comments

Psychologist in Fort Myers, FL

Dr. Jill Dea Sanders, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3949 Evans Ave, Suite 105, Fort Myers, FL 33901 Phone: 239-789-5078
Dr. Gisel Ivette Mendez-cordero, PSYD Psychologist Medicare: Medicare Enrolled Practice Location: 5225 Clayton Ct, Fort Myers, FL 33907 Phone: 239-343-8240 Fax: 239-468-7906
Dr. Marisa Bermudez, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 12499 Brantley Commons Ct Ste 101, Fort Myers, FL 33907 Phone: 239-278-3443 Fax: 239-278-3550
Kim Shimoda, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 9981 S Healthpark Dr, Fort Myers, FL 33908 Phone: 239-343-5333 Fax: 239-343-5321
Dr. Pasquale Angelo Capozzoli, PSY.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 5290 Summerlin Commons Way Ste 1002, Fort Myers, FL 33907 Phone: 239-274-7792 Fax: 239-247-5344
Melissa Anne Swartz, PHD Psychologist Medicare: Medicare Enrolled Practice Location: 9981 S Healthpark Dr, Fort Myers, FL 33908 Phone: 239-343-5333 Fax: 239-343-5484
Sarah K Romero-rodriguez, PHD Psychologist Medicare: Medicare Enrolled Practice Location: 9800 S Healthpark Dr Ste 205, Fort Myers, FL 33908 Phone: 239-343-7130 Fax: 239-343-7185

Jacqueline Stephanie Hidalgo, PSY-D - Medicare Psychologist in Fort Myers, FL