Jessica Vaughan Clover, is a medicare enrolled "Psychologist" provider in Chowchilla, California. Her current practice location is
21633 Avenue 24, Chowchilla, California. You can reach out to her office (for appointments etc.) via phone at
(559) 665-6100.
Jessica Vaughan Clover is licensed to practice in California (license number PSY26428) 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 1770897787.
Healthcare Provider's Profile
Full Name | Jessica Vaughan Clover |
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Gender | Female |
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Speciality | Psychologist |
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Location | 21633 Avenue 24, Chowchilla, California |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1770897787
- Provider Enumeration Date: 08/02/2010
- Last Update Date: 07/21/2025
Medicare PECOS Information:
- PECOS PAC ID: 8123561099
- Enrollment ID: I20240620000087
Medical Identifiers
Medical identifiers for Jessica Vaughan Clover such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1770897787 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
103T00000X | Psychologist | PSY26428 (California) | 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 Vaughan Clover allows following entities to bill medicare on her behalf.
Entity Name | Access Psychology Services Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1558752931 PECOS PAC ID: 6204155187 Enrollment ID: O20150427000807 |
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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 Vaughan Clover 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 |
Jessica Vaughan Clover, 21633 Avenue 24, Chowchilla, CA 93610-9650 Ph: () - | Jessica Vaughan Clover, 21633 Avenue 24, Chowchilla, CA 93610-9650 Ph: (559) 665-6100 |
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