Dr Jennifer R Jergerian, PSYD is a medicare enrolled "Psychologist" provider in Fort Collins, Colorado. Her current practice location is
4601 Corbett Dr, Fort Collins, Colorado. You can reach out to her office (for appointments etc.) via phone at
(970) 207-4857.
Dr Jennifer R Jergerian is licensed to practice in Colorado (license number PSY.0003310) 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 1306962915.
Healthcare Provider's Profile
| Full Name | Dr Jennifer R Jergerian |
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| Gender | Female |
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| Speciality | Psychologist |
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| Location | 4601 Corbett Dr, Fort Collins, Colorado |
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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: 1306962915
- Provider Enumeration Date: 03/22/2007
- Last Update Date: 09/17/2021
Medicare PECOS Information:
- PECOS PAC ID: 1355585092
- Enrollment ID: I20130918000524
Medical Identifiers
Medical identifiers for Dr Jennifer R Jergerian such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1306962915 | NPI | - | NPPES |
| 015957 | Other | | KAISER-COMMERCIAL NUMBER |
| 97282774 | Medicaid | CO | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | 3843 (Colorado) | Secondary |
| 103T00000X | Psychologist | PSY.0003310 (Colorado) | 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. Dr Jennifer R Jergerian allows following entities to bill medicare on her behalf.
| Entity Name | Poudre Valley Health Care Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1760492714
PECOS PAC ID: 7618880709
Enrollment ID: O20031105000791 |
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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 Jennifer R Jergerian 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 Jennifer R Jergerian, PSYD
4601 Corbett Dr,
Fort Collins, CO 80528-9579
Ph: (970) 207-4857 | Dr Jennifer R Jergerian, PSYD
4601 Corbett Dr,
Fort Collins, CO 80528-9579
Ph: (970) 207-4857 |
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