Jennifer Lynn Pellicano, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Sandwich, Illinois. Her current practice location is
207 E Church St, Suite A, Sandwich, Illinois. You can reach out to her office (for appointments etc.) via phone at
(815) 786-8606.
Jennifer Lynn Pellicano is licensed to practice in Illinois (license number 071008942) 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 1225426570.
Healthcare Provider's Profile
Full Name | Jennifer Lynn Pellicano |
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Gender | Female |
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Speciality | |
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Experience | Years |
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Location | 207 E Church St, Sandwich, Illinois |
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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:
- Jennifer Lynn Pellicano attended and graduated from in
NPI Data:
- NPI Number: 1225426570
- Provider Enumeration Date: 01/08/2015
- Last Update Date: 03/13/2017
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Jennifer Lynn Pellicano such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1225426570 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103TC0700X | Psychologist - Clinical | 071008942 (Illinois) | Primary |
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 Lynn Pellicano 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 |
Jennifer Lynn Pellicano, PSYD 1120 E Main St, Suite 201, St Charles, IL 60174-2287 Ph: (630) 377-6613 | Jennifer Lynn Pellicano, PSYD 207 E Church St, Suite A, Sandwich, IL 60548-9803 Ph: (815) 786-8606 |
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