Ms Mercedes Kennedy, MA EDM LPC - Medicare Psychologist in Princeton, NJ

Ms Mercedes Kennedy, MA EDM LPC is a medicare enrolled "Psychologist" provider in Princeton, New Jersey. Her current practice location is 195 Nassau Street Office #28, Princeton, New Jersey. You can reach out to her office (for appointments etc.) via phone at (609) 683-1300.

Ms Mercedes Kennedy is licensed to practice in New Jersey (license number 37PC00242300) 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 1790944551.

Contact Information

Ms Mercedes Kennedy, MA EDM LPC
195 Nassau Street Office #28,
Princeton, NJ 08542
(609) 683-1300
(609) 683-1361

Map and Direction




Healthcare Provider's Profile

Full NameMs Mercedes Kennedy
GenderFemale
SpecialityPsychologist
Location195 Nassau Street Office #28, Princeton, New Jersey
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1790944551
  • Provider Enumeration Date: 06/06/2008
  • Last Update Date: 06/06/2008
  Medicare PECOS Information:
  • PECOS PAC ID: 8426493131
  • Enrollment ID: I20240304001125

Medical Identifiers

Medical identifiers for Ms Mercedes Kennedy such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1790944551NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103T00000XPsychologist 37PC00242300 (New Jersey)Primary
103TC0700XPsychologist - Clinical 37PC00242300 (New Jersey)Secondary
103TC2200XPsychologist - Clinical Child & Adolescent 37PC00242300 (New Jersey)Secondary
103TF0000XPsychologist - Family 37PC00242300 (New Jersey)Secondary

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 Mercedes Kennedy allows following entities to bill medicare on her behalf.
Entity NameCatholic Charities Diocese Of Trenton
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1306888656
PECOS PAC ID: 0345214466
Enrollment ID: O20050121000069

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 Mercedes Kennedy 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 AddressPractice Location Address
Ms Mercedes Kennedy, MA EDM LPC
195 Nassau Street Office #28,
Princeton, NJ 08542

Ph: (609) 683-1300
Ms Mercedes Kennedy, MA EDM LPC
195 Nassau Street Office #28,
Princeton, NJ 08542

Ph: (609) 683-1300

Reviews and Comments


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