Dr Jean Ellen Densmore John, PHD, MS, RD is a medicare enrolled "Psychologist" provider in Santa Barbara, California. Her current practice location is
855 Estrella Dr., Santa Barbara, California. You can reach out to her office (for appointments etc.) via phone at
(805) 563-2217.
Dr Jean Ellen Densmore John is licensed to practice in California (license number PSY23961) 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 1326198938.
Healthcare Provider's Profile
| Full Name | Dr Jean Ellen Densmore John |
|---|
| Gender | Female |
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| Speciality | Psychologist |
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| Location | 855 Estrella Dr., Santa Barbara, California |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1326198938
- Provider Enumeration Date: 01/12/2007
- Last Update Date: 05/20/2016
Medicare PECOS Information:
- PECOS PAC ID: 2062699770
- Enrollment ID: I20110607000186
Medical Identifiers
Medical identifiers for Dr Jean Ellen Densmore John such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1326198938 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 103T00000X | Psychologist | PSY23961 (California) | Primary |
| 133N00000X | Nutritionist | (* (Not Available)) | Secondary |
| 133V00000X | Dietitian, Registered | RD441285 (Wisconsin) | Secondary |
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 Ellen Densmore John 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 |
|---|
Dr Jean Ellen Densmore John, PHD, MS, RD
855 Estrella Dr,
Santa Barbara, CA 93110-2126
Ph: (805) 563-2217 | Dr Jean Ellen Densmore John, PHD, MS, RD
855 Estrella Dr.,
Santa Barbara, CA 93101
Ph: (805) 563-2217 |
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