Jacquelyn Norris, MA is a medicare enrolled "Psychologist - Clinical" provider in Atascadero, California. She graduated from healthcare school in 2015 and has 11 years of diverse experience with area of expertise as Clinical Psychologist. She is a member of the group practice Sud Specialty Group - Ca and her current practice location is
10333 El Camino Real, Atascadero, California. You can reach out to her office (for appointments etc.) via phone at
(805) 468-2000.
Jacquelyn Norris is licensed to practice in California (license number 29569) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1437385622.
Healthcare Provider's Profile
| Full Name | Jacquelyn Norris |
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| Gender | Female |
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| Speciality | Clinical Psychologist |
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| Experience | 11 Years |
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| Location | 10333 El Camino Real, Atascadero, California |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Jacquelyn Norris graduated from medical school in 2015
NPI Data:
- NPI Number: 1437385622
- Provider Enumeration Date: 06/02/2009
- Last Update Date: 06/16/2022
Medicare PECOS Information:
- PECOS PAC ID: 2860872033
- Enrollment ID: I20220706000436
Medical Identifiers
Medical identifiers for Jacquelyn Norris such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1437385622 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 103TC0700X | Psychologist - Clinical | 29569 (California) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Sud Specialty Group - Ca | 9537534177 | 456 |
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. Jacquelyn Norris allows following entities to bill medicare on her behalf.
| Entity Name | Department Of State Hospitals |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1124078704 PECOS PAC ID: 9638174238 Enrollment ID: O20081031000305 |
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| Entity Name | Sud Specialty Group - Ca |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1972138238 PECOS PAC ID: 9537534177 Enrollment ID: O20230412001370 |
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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. Jacquelyn Norris 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 |
Jacquelyn Norris, MA 10333 El Camino Real, Atascadero, CA 93422-5808 Ph: () - | Jacquelyn Norris, MA 10333 El Camino Real, Atascadero, CA 93422-5808 Ph: (805) 468-2000 |
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