Mr Jared Eaton, PSYD, HSPP in Merrillville, IN - Medicare Psychologist Provider

Mr Jared Eaton, PSYD, HSPP is a medicare enrolled "Psychologist - Clinical" provider in Merrillville, Indiana. His current practice location is 1441 E 84th Pl, Merrillville, Indiana. You can reach out to his office (for appointments etc.) via phone at (219) 736-9115.

Mr Jared Eaton is licensed to practice in Indiana (license number 20042868A) 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 1154635043.

Contact Information

	Mr Jared Eaton, PSYD, HSPP
	1441 E 84th Pl, Merrillville, IN 46410-6451
	(219) 736-9115
	(219) 794-2010

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Jared Eaton
Gender	Male
Speciality	Psychologist - Clinical
Location	1441 E 84th Pl, Merrillville, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1154635043
Provider Enumeration Date: 08/03/2010
Last Update Date: 09/17/2015

Medicare PECOS Information:

PECOS PAC ID: 7719294149
Enrollment ID: I20150917002416

Medical Identifiers

Medical identifiers for Mr Jared Eaton such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1154635043	NPI	-	NPPES
201313820	Medicaid	IN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	20042868A (Indiana)	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. Mr Jared Eaton allows following entities to bill medicare on his behalf.

Entity Name	Southlake Community Mental Health Center Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1821081290 PECOS PAC ID: 5991600355 Enrollment ID: O20040513000199

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. Mr Jared Eaton 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
Mr Jared Eaton, PSYD, HSPP 8400 Louisiana St, Merrillville, IN 46410-6385 Ph: (219) 757-1928	Mr Jared Eaton, PSYD, HSPP 1441 E 84th Pl, Merrillville, IN 46410-6451 Ph: (219) 736-9115

Reviews and Comments

Psychologist in Merrillville, IN

Jody Ross, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 521 E 86th Ave Ste H, Merrillville, IN 46410 Phone: 219-323-3311
Douglas W Caruana, PSYD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 9111 Broadway, Suite Q, Merrillville, IN 46410 Phone: 219-736-0003 Fax: 219-756-2315
James M Bovan, PSY.D Psychologist Medicare: May Accept Medicare Assignments Practice Location: 8400 Louisiana St, Merrillville, IN 46410 Phone: 219-757-1924 Fax: 219-757-1950
Dr. Carl Stephen Moisoff, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 8500 Broadway St, Ste A, Merrillville, IN 46410 Phone: 800-648-7608 Fax: 219-736-9456
Nicholas James Constantine, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 8315 Virginia St, Suite H, Merrillville, IN 46410 Phone: 219-736-7320
Robert Edward Rajewski, PSYD HSPP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1441 E 84th Pl, Merrillville, IN 46410 Phone: 219-736-9115 Fax: 219-794-2000
Dr. Julie Ann Mescall, PSY.D Psychologist Medicare: Accepting Medicare Assignments Practice Location: 800 E 86th Ave Ste B, Merrillville, IN 46410 Phone: 219-595-0043 Fax: 219-237-2894

Mr Jared Eaton, PSYD, HSPP - Medicare Psychologist in Merrillville, IN