Jessica L Payne, PSYD, MSW is a medicare enrolled "Psychologist" provider in Honolulu, Hawaii. Her current practice location is
1441 Kapiolani Blvd Ste 1600, Honolulu, Hawaii. You can reach out to her office (for appointments etc.) via phone at
(808) 432-7600.
Jessica L Payne is licensed to practice in Hawaii (license number 2124) 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 1922407923.
Healthcare Provider's Profile
| Full Name | Jessica L Payne |
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| Gender | Female |
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| Speciality | Psychologist |
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| Location | 1441 Kapiolani Blvd Ste 1600, Honolulu, Hawaii |
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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: 1922407923
- Provider Enumeration Date: 08/15/2014
- Last Update Date: 12/07/2023
Medicare PECOS Information:
- PECOS PAC ID: 6103107792
- Enrollment ID: I20231220002023
Medical Identifiers
Medical identifiers for Jessica L Payne such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1922407923 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YA0400X | Counselor - Addiction (substance Use Disorder) | C-03134 (Michigan) | Secondary |
| 1041C0700X | Social Worker - Clinical | 6801095273 (Michigan) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 103T00000X | Psychologist | 2124 (Hawaii) | 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. Jessica L Payne allows following entities to bill medicare on her behalf.
| Entity Name | Kaiser Foundation Health Plan Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1063515567
PECOS PAC ID: 1850205360
Enrollment ID: O20031119000948 |
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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. Jessica L Payne 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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Jessica L Payne, PSYD, MSW
1441 Kapiolani Blvd Ste 1802,
Honolulu, HI 96814-4408
Ph: () - | Jessica L Payne, PSYD, MSW
1441 Kapiolani Blvd Ste 1600,
Honolulu, HI 96814-4407
Ph: (808) 432-7600 |
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