Jack Garden, HSPP in South Bend, IN - Medicare Psychologist Provider

Jack Garden, HSPP is a medicare enrolled "Psychologist - Health Service" provider in South Bend, Indiana. His current practice location is 403 E Madison St, South Bend, Indiana. You can reach out to his office (for appointments etc.) via phone at (574) 283-1107.

Jack Garden is licensed to practice in Indiana (license number 20041199A) 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 1194860304.

Contact Information

	Jack Garden, HSPP
	403 E Madison St, South Bend, IN 46617-2322
	(574) 283-1107
	(574) 283-1131

Map and Direction

Healthcare Provider's Profile

Full Name	Jack Garden
Gender	Male
Speciality	Psychologist - Health Service
Location	403 E Madison St, South Bend, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1194860304
Provider Enumeration Date: 02/21/2007
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 9638165152
Enrollment ID: I20220722001359

Medical Identifiers

Medical identifiers for Jack Garden such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1194860304	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TH0100X	Psychologist - Health Service	20041199A (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. Jack Garden allows following entities to bill medicare on his behalf.

Entity Name	Empower Psychological Services, Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1659952778 PECOS PAC ID: 0749681823 Enrollment ID: O20210626000016

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. Jack Garden 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
Jack Garden, HSPP 403 E Madison St, South Bend, IN 46617-2322 Ph: (574) 283-1107	Jack Garden, HSPP 403 E Madison St, South Bend, IN 46617-2322 Ph: (574) 283-1107

Reviews and Comments

Psychologist in South Bend, IN

Rachel Njuguna, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 403 E Madison St, South Bend, IN 46617 Phone: 574-283-1107 Fax: 574-283-1131
Barbara S Searle, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3603 E Jefferson Blvd, Suiteb, South Bend, IN 46615 Phone: 574-237-1003 Fax: 574-237-1006
Dr. George Gilbert Moss, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 22057 Sandybrook Dr, South Bend, IN 46628 Phone: 574-514-4302
Nicole Gebadlo, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2505 E Jefferson Blvd, South Bend, IN 46615 Phone: 574-289-4831 Fax: 574-234-2075
Vaughn Thomas Mawhinney, PH.D. Psychologist Medicare: Medicare Enrolled Practice Location: 828 E Colfax Ave, South Bend, IN 46617 Phone: 574-251-1531 Fax: 574-234-5710
Joann Michelle Jackson, PSY.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 403 E Madison St, South Bend, IN 46617 Phone: 574-533-1234 Fax: 574-537-2652

Jack Garden, HSPP - Medicare Psychologist in South Bend, IN