Ms Jennifer Grace Walter Lee, PHD is a medicare enrolled "Clinical Neuropsychologist" provider in Albuquerque, New Mexico. Her current practice location is
4001 Indian School Rd Ne, Albuquerque, New Mexico. You can reach out to her office (for appointments etc.) via phone at
(505) 272-6203.
Ms Jennifer Grace Walter Lee is licensed to practice in New Mexico (license number PSY1626) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1104171792.
Healthcare Provider's Profile
Full Name | Ms Jennifer Grace Walter Lee |
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Gender | Female |
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Speciality | Clinical Neuropsychologist |
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Location | 4001 Indian School Rd Ne, Albuquerque, New Mexico |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1104171792
- Provider Enumeration Date: 07/19/2012
- Last Update Date: 10/14/2024
Medicare PECOS Information:
- PECOS PAC ID: 6406276096
- Enrollment ID: I20201020003903
Medical Identifiers
Medical identifiers for Ms Jennifer Grace Walter Lee such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1104171792 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103TC0700X | Psychologist - Clinical | PSY1626 (New Mexico) | Secondary |
103G00000X | Clinical Neuropsychologist | PSY1626 (New Mexico) | 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. Ms Jennifer Grace Walter Lee allows following entities to bill medicare on her behalf.
Entity Name | Neuropsychological Services Of New Mexico, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1326115049 PECOS PAC ID: 3577564947 Enrollment ID: O20070127000018 |
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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. Ms Jennifer Grace Walter Lee 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 |
Ms Jennifer Grace Walter Lee, PHD 10029 Honey Meadows Rd, Mechanicsville, VA 23116-2614 Ph: (260) 385-1566 | Ms Jennifer Grace Walter Lee, PHD 4001 Indian School Rd Ne, Albuquerque, NM 87110-3816 Ph: (505) 272-6203 |
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