Jennifer R Gruba, PHD is a medicare enrolled "Psychologist - Clinical" provider in Portage, Wisconsin. She graduated from healthcare school in 2023 and has 2 years of diverse experience with area of expertise as Clinical Psychologist. Her current practice location is
2901 Hunters Trl, Portage, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(608) 742-5518.
Jennifer R Gruba is licensed to practice in Wisconsin (license number 5149-057) and she also participates in the medicare program. She
may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1033413646.
Healthcare Provider's Profile
| Full Name | Jennifer R Gruba |
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| Gender | Female |
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| Speciality | Clinical Psychologist |
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| Experience | 2 Years |
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| Location | 2901 Hunters Trl, Portage, Wisconsin |
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| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Jennifer R Gruba graduated from medical school in 2023
NPI Data:
- NPI Number: 1033413646
- Provider Enumeration Date: 12/23/2010
- Last Update Date: 12/04/2024
Medicare PECOS Information:
- PECOS PAC ID: 3971953597
- Enrollment ID: I20250804003987
Medical Identifiers
Medical identifiers for Jennifer R Gruba such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1033413646 | NPI | - | NPPES |
| 1033413646 | Medicaid | WI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 106H00000X | Marriage & Family Therapist | 867-124 (Wisconsin) | Secondary |
| 103TC0700X | Psychologist - Clinical | 5149-057 (Wisconsin) | Primary |
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. Jennifer R Gruba 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 |
Jennifer R Gruba, PHD 710 N. Webb Ave, Reedsburg, WI 53959 Ph: (608) 524-5151 | Jennifer R Gruba, PHD 2901 Hunters Trl, Portage, WI 53901-3403 Ph: (608) 742-5518 |
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