Jennifer Aileen Correll, BA - Medicare Psychologist in Johnson City, TN

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Jennifer Aileen Correll, BA is a medicare enrolled "Psychologist - Clinical" provider in Johnson City, Tennessee. She graduated from medical school in 2012 and has 12 years of diverse experience with area of expertise as Clinical Psychologist. She is a member of the group practice Ipc Pac Healthcare Services Of Tennessee Pc and her current practice location is 119 Boone Ridge Dr, Suite 201, Johnson City, Tennessee. You can reach out to her office (for appointments etc.) via phone at (423) 282-1480.

Jennifer Aileen Correll is licensed to practice in Tennessee (license number 3451) 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 1457545402.

Contact Information

Jennifer Aileen Correll, BA
119 Boone Ridge Dr, Suite 201,
Johnson City, TN 37615-4998
(423) 282-1480
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameJennifer Aileen Correll
GenderFemale
SpecialityClinical Psychologist
Experience12 Years
Location119 Boone Ridge Dr, Johnson City, Tennessee
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Jennifer Aileen Correll graduated from medical school in 2012
  NPI Data:
  • NPI Number: 1457545402
  • Provider Enumeration Date: 09/04/2007
  • Last Update Date: 03/13/2017
  Medicare PECOS Information:
  • PECOS PAC ID: 5597986497
  • Enrollment ID: I20170418002387

Medical Identifiers

Medical identifiers for Jennifer Aileen Correll such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1457545402NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical 3451 (Tennessee)Primary
103TC0700XPsychologist - Clinical 1277 (South Carolina)Secondary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Ipc Pac Healthcare Services Of Tennessee Pc084058757266

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. Jennifer Aileen Correll allows following entities to bill medicare on her behalf.
Entity NameSoutheastern Physician Services Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1083835441
PECOS PAC ID: 0042307852
Enrollment ID: O20071025000571
Entity NameIpc Pac Healthcare Services Of Tennessee Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1104277656
PECOS PAC ID: 0840587572
Enrollment ID: O20160928000541
Entity NameNv Pacs 2 Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1427534809
PECOS PAC ID: 0941550578
Enrollment ID: O20210903001263

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. Jennifer Aileen Correll 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
Jennifer Aileen Correll, BA
119 Boone Ridge Dr, Suite 201,
Johnson City, TN 37615-4998

Ph: (423) 282-1480		Jennifer Aileen Correll, BA
119 Boone Ridge Dr, Suite 201,
Johnson City, TN 37615-4998

Ph: (423) 282-1480

Reviews and Comments


Psychologist in Johnson City, TN

Dr. Angela Jane Shelton, PHD
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Shelley Ann Silvers, PHD
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Ms. Deborah Lee Morrell, LPE
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Phone: 423-232-2600    Fax: 423-232-2646
Martha M. Kennon, PH.D.
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Practice Location: 119 Boone Ridge Dr, Suite 201, Johnson City, TN 37615
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Dr. Steven L Gray, PSY.D.
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Practice Location: 119 Boone Ridge Dr, Suite 201, Johnson City, TN 37615
Phone: 423-282-1480    Fax: 423-928-1353
Dr. Bess Lewis, PSYD
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Medicare: Medicare Enrolled
Practice Location: 1735 W State Franklin Road, Ste 5 #180, Johnson City, TN 37604
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Practice Location: 807 University Pkwy, 139 Lucille Clement Hall, Johnson City, TN 37614
Phone: 423-439-7777    Fax: 423-439-7780

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.