Jennifer R Gruba, PHD is a medicare enrolled "Psychologist - Clinical" provider in Portage, Wisconsin. She graduated from healthcare school in 2023 and has 3 years of diverse experience with area of expertise as Clinical Psychologist. She is a member of the group practice Community Service Associates, Sc and 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
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 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 | 3 Years |
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| Location | 2901 Hunters Trl, Portage, Wisconsin |
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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. |
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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 |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Community Service Associates, Sc | 8426948746 | 35 |
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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