Jeremy Christopher Peres, in Philadelphia, PA - Medicare Psychologist Provider

Jeremy Christopher Peres, is a medicare enrolled "Psychologist - Clinical" provider in Philadelphia, Pennsylvania. His current practice location is 1200 W Tabor Rd Ste 100, Philadelphia, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (267) 714-3682.

Jeremy Christopher Peres is licensed to practice in Pennsylvania (license number PS019048) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1659983708.

Contact Information

	Jeremy Christopher Peres,
	1200 W Tabor Rd Ste 100, Philadelphia, PA 19141-3019
	(267) 714-3682
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Jeremy Christopher Peres
Gender	Male
Speciality	Psychologist - Clinical
Location	1200 W Tabor Rd Ste 100, Philadelphia, Pennsylvania
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1659983708
Provider Enumeration Date: 08/20/2020
Last Update Date: 07/01/2024

Medicare PECOS Information:

PECOS PAC ID: 5193159218
Enrollment ID: I20200910002894

Medical Identifiers

Medical identifiers for Jeremy Christopher Peres such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1659983708	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	PS019048 (Pennsylvania)	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. Jeremy Christopher Peres allows following entities to bill medicare on his behalf.

Entity Name	Aids Care Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1477592400 PECOS PAC ID: 2264345933 Enrollment ID: O20031110000007

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. Jeremy Christopher Peres 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
Jeremy Christopher Peres, 3715 Garrett Rd # 1064, Drexel Hill, PA 19026-3040 Ph: (267) 714-3682	Jeremy Christopher Peres, 1200 W Tabor Rd Ste 100, Philadelphia, PA 19141-3019 Ph: (267) 714-3682

Reviews and Comments

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Jeremy Christopher Peres, - Medicare Psychologist in Philadelphia, PA