Jean Kesnold Mesidor, PHD - Medicare Psychologist in Immokalee, FL

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Jean Kesnold Mesidor, PHD is a medicare enrolled "Psychologist" provider in Immokalee, Florida. He graduated from medical school in 2015 and has 9 years of diverse experience with area of expertise as Clinical Psychologist. He is a member of the group practice Collier Health Services, Inc and his current practice location is 1454 Madison Ave W, Immokalee, Florida. You can reach out to his office (for appointments etc.) via phone at (239) 658-3000.

Jean Kesnold Mesidor is licensed to practice in Florida (license number ) and he also participates in the medicare program. He may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1891210399.

Contact Information

Jean Kesnold Mesidor, PHD
1454 Madison Ave W,
Immokalee, FL 34142-2200
(239) 658-3000
(239) 658-3199

Map and Direction




Healthcare Provider's Profile

Full NameJean Kesnold Mesidor
GenderMale
SpecialityClinical Psychologist
Experience9 Years
Location1454 Madison Ave W, Immokalee, Florida
Accepts Medicare AssignmentsMay be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Jean Kesnold Mesidor graduated from medical school in 2015
  NPI Data:
  • NPI Number: 1891210399
  • Provider Enumeration Date: 08/07/2017
  • Last Update Date: 03/17/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 2365716081
  • Enrollment ID: I20170919003819

Medical Identifiers

Medical identifiers for Jean Kesnold Mesidor such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1891210399NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103T00000XPsychologist (Florida)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Collier Health Services, Inc418352192524

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. Jean Kesnold Mesidor allows following entities to bill medicare on his behalf.
Entity NameCollier Health Services, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1609827211
PECOS PAC ID: 4183521925
Enrollment ID: O20040210000106

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. Jean Kesnold Mesidor 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 AddressPractice Location Address
Jean Kesnold Mesidor, PHD
16 Atlantic Ave Fl 2,
Lynbrook, NY 11563-3046

Ph: (516) 593-1380		Jean Kesnold Mesidor, PHD
1454 Madison Ave W,
Immokalee, FL 34142-2200

Ph: (239) 658-3000

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.