Ms Jill E Bacon, PSYD in North Ridgeville, OH - Medicare Psychologist Provider

Ms Jill E Bacon, PSYD is a medicare enrolled "Psychologist - Clinical" provider in North Ridgeville, Ohio. Her current practice location is 6401 Jaycox Rd, North Ridgeville, Ohio. You can reach out to her office (for appointments etc.) via phone at (440) 327-1800.

Ms Jill E Bacon is licensed to practice in Ohio (license number 6570) 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 1770704041.

Contact Information

	Ms Jill E Bacon, PSYD
	6401 Jaycox Rd, North Ridgeville, OH 44039-1611
	(440) 327-1800
	(440) 327-1533

Map and Direction

Healthcare Provider's Profile

Full Name	Ms Jill E Bacon
Gender	Female
Speciality	Psychologist - Clinical
Location	6401 Jaycox Rd, North Ridgeville, Ohio
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1770704041
Provider Enumeration Date: 05/02/2007
Last Update Date: 07/27/2023

Medicare PECOS Information:

PECOS PAC ID: 6608020979
Enrollment ID: I20130214000304

Medical Identifiers

Medical identifiers for Ms Jill E Bacon such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1770704041	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	6570 (Ohio)	Secondary
103TC0700X	Psychologist - Clinical	6570 (Ohio)	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 Jill E Bacon allows following entities to bill medicare on her behalf.

Entity Name	Kenneth A Deluca Phd & Associates Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1821018698 PECOS PAC ID: 2860469160 Enrollment ID: O20040915000977

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 Jill E Bacon 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 Jill E Bacon, PSYD 6401 Jaycox Rd, North Ridgeville, OH 44039-1611 Ph: (440) 327-1800	Ms Jill E Bacon, PSYD 6401 Jaycox Rd, North Ridgeville, OH 44039-1611 Ph: (440) 327-1800

Reviews and Comments

Psychologist in North Ridgeville, OH

Carrie Helling, PSY.S. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 5490 Mills Creek Ln, North Ridgeville, OH 44039 Phone: 440-353-6884
Mrs. Catherine Magen Brandon, PSYD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 35888 Center Ridge Road, Suite 5, North Ridgeville, OH 44039 Phone: 440-327-1800 Fax: 440-327-1533
Ashley Styles, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 34600 Bainbridge Rd, North Ridgeville, OH 44039 Phone: 440-327-1992
Rita Cavalier, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 34620 Bainbridge Rd, North Ridgeville, OH 44039 Phone: 440-353-1180
Thomas Michael Evans Ii, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 35590 Center Ridge Rd, 102, North Ridgeville, OH 44039 Phone: 440-327-2388
Mrs. Catherine Kiewel, NCSP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 34600 Bainbridge Rd, North Ridgeville, OH 44039 Phone: 440-327-4083 Fax: 440-327-4056
Susan Gail Aylward, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 5700 Jaycox Rd, North Ridgeville, OH 44039 Phone: 440-327-6767

Ms Jill E Bacon, PSYD - Medicare Psychologist in North Ridgeville, OH