Jennifer Renee Potter, PSYD is a
Psychologist - Clinical based in Choctaw, Oklahoma. Jennifer Renee Potter is licensed to practice in Oklahoma (license number 1101) and her current practice location is
14453 Se 29th St, Suite D, Choctaw, Oklahoma. She can be reached at her office (for appointments etc.) via phone at
(405) 741-2844.
NPI number for Jennifer Renee Potter is 1558517649 and her current mailing address is 1025 Renita Ct, Moore, Oklahoma. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1558517649.
Healthcare Provider's Profile
Full Name | Jennifer Renee Potter |
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Gender | Female |
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Speciality | Psychologist - Clinical |
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Location | 14453 Se 29th St, Choctaw, Oklahoma |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1558517649
- Provider Enumeration Date: 08/08/2008
- Last Update Date: 08/11/2011
Medical Identifiers
Medical identifiers for Jennifer Renee Potter such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1558517649 | NPI | - | NPPES |
200226900A | Medicaid | OK | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103TC0700X | Psychologist - Clinical | 1101 (Oklahoma) | 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 Renee Potter is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Jennifer Renee Potter, PSYD 1025 Renita Ct, Moore, OK 73160-8702 Ph: (405) 837-5841 | Jennifer Renee Potter, PSYD 14453 Se 29th St, Suite D, Choctaw, OK 73020-6541 Ph: (405) 741-2844 |
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