Dr Jean A Roberts, PHD is a medicare enrolled "Psychologist" provider in Toledo, Ohio. She graduated from healthcare school in 2006 and has 20 years of diverse experience with area of expertise as Clinical Psychologist. She is a member of the group practice Toledo Counseling And Mental Health Llc and her current practice location is
2109 Hughes Dr, Jobst Tower #640, Toledo, Ohio. You can reach out to her office (for appointments etc.) via phone at
(567) 661-0505.
Dr Jean A Roberts is licensed to practice in Ohio (license number 6879) and she also participates in the medicare program. She
may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1053504027.
Healthcare Provider's Profile
| Full Name | Dr Jean A Roberts |
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| Gender | Female |
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| Speciality | Clinical Psychologist |
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| Experience | 20 Years |
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| Location | 2109 Hughes Dr, Toledo, Ohio |
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| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Jean A Roberts graduated from medical school in 2006
NPI Data:
- NPI Number: 1053504027
- Provider Enumeration Date: 08/23/2007
- Last Update Date: 10/12/2016
Medicare PECOS Information:
- PECOS PAC ID: 0446552830
- Enrollment ID: I20151230002800
Medical Identifiers
Medical identifiers for Dr Jean A Roberts such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1053504027 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YP2500X | Counselor - Professional | E0007114-S (Ohio) | Secondary |
| 103T00000X | Psychologist | 6879 (Ohio) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Toledo Counseling And Mental Health Llc | 1254736853 | 9 |
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. Dr Jean A Roberts allows following entities to bill medicare on her behalf.
| Entity Name | Toledo Counseling & Mental Health Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1174007934
PECOS PAC ID: 1254736853
Enrollment ID: O20211111002756 |
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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. Dr Jean A Roberts 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 |
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Dr Jean A Roberts, PHD
Po Box 8970,
Toledo, OH 43623-0970
Ph: (419) 517-1758 | Dr Jean A Roberts, PHD
2109 Hughes Dr, Jobst Tower #640,
Toledo, OH 43606-3856
Ph: (567) 661-0505 |
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