Jasmine Staten, in Dayton, OH - Medicare Psychologist Provider

Jasmine Staten, is a medicare enrolled "Psychologist - Clinical Child & Adolescent" provider in Dayton, Ohio. Her current practice location is 1010 Valley St, Dayton, Ohio. You can reach out to her office (for appointments etc.) via phone at (937) 641-3401.

Jasmine Staten is licensed to practice in Ohio (license number P.08569) 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 1578062261.

Contact Information

	Jasmine Staten,
	1010 Valley St, Dayton, OH 45404-2070
	(937) 641-3401
	(937) 641-3046

Map and Direction

Healthcare Provider's Profile

Full Name	Jasmine Staten
Gender	Female
Speciality	Psychologist - Clinical Child & Adolescent
Location	1010 Valley St, Dayton, Ohio
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1578062261
Provider Enumeration Date: 02/07/2018
Last Update Date: 12/06/2023

Medicare PECOS Information:

PECOS PAC ID: 1355790767
Enrollment ID: I20231211002952

Medical Identifiers

Medical identifiers for Jasmine Staten such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1578062261	NPI	-	NPPES
0288064	Medicaid	OH

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC2200X	Psychologist - Clinical Child & Adolescent	P.08569 (Ohio)	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. Jasmine Staten allows following entities to bill medicare on her behalf.

Entity Name	Dayton Childrens Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1730392309 PECOS PAC ID: 5496792418 Enrollment ID: O20050412000416

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. Jasmine Staten 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
Jasmine Staten, Po Box 933421, Cleveland, OH 44193-0039 Ph: (937) 641-5072	Jasmine Staten, 1010 Valley St, Dayton, OH 45404-2070 Ph: (937) 641-3401

Reviews and Comments

Psychologist in Dayton, OH

Shamya Leigh, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1101 E Main St, Dayton, OH 45426 Phone: 937-672-4179
Mr. Eric Charles Drown, PSY.D Psychologist Medicare: Not Enrolled in Medicare Practice Location: 4100 W 3rd St, Bld. 302, Rm 318, Dayton, OH 45428 Phone: 937-268-6511 Fax: 937-267-5385
Thomas Alan Mcelfresh, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 7071 Corporate Way, Suite 108, Dayton, OH 45459 Phone: 937-436-9020
Mr. John David Lestingi, SCHOOL PSYCHOLOGIST Psychologist Medicare: Not Enrolled in Medicare Practice Location: 115 S Ludlow St, Psychological Services, Dayton, OH 45402 Phone: 937-542-3409
Dr. Katren Elizabeth Clark, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 70 Birch Alley, Suite 240, Dayton, OH 45440 Phone: 610-608-6110
Dr. Alice L Claggett, MD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1159 Lyons Rd, Building E, Dayton, OH 45458 Phone: 937-558-0483 Fax: 937-558-0483
Dr. Kathleen Taylor, ED.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 115 S Ludlow St, Dayton, OH 45402 Phone: 937-542-3000

Jasmine Staten, - Medicare Psychologist in Dayton, OH