Jessica Marie Keith, PHD is a
Psychologist based in Rochester, New York. Jessica Marie Keith is licensed to practice in New York (license number 025400) and her current practice location is
200 E River Rd, Rochester, New York. She can be reached at her office (for appointments etc.) via phone at
(585) 279-7800.
NPI number for Jessica Marie Keith is 1306412382 and her current mailing address is 300 Crittenden Blvd Box Psych, Rochester, New York. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1306412382.
Provider's Profile
| Full Name | Jessica Marie Keith |
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| Gender | Female |
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| Speciality | Psychologist |
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| Location | 200 E River Rd, Rochester, New York |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1306412382
- Provider Enumeration Date: 06/01/2021
- Last Update Date: 07/17/2023
Medical Identifiers
Medical identifiers for Jessica Marie Keith such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1306412382 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363AM0700X | Physician Assistant - Medical | 25400 (New York) | Secondary |
| 103T00000X | Psychologist | 025400 (New York) | 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. Jessica Marie Keith is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Jessica Marie Keith, PHD
300 Crittenden Blvd Box Psych,
Rochester, NY 14642-0001
Ph: (585) 279-7800 | Jessica Marie Keith, PHD
200 E River Rd,
Rochester, NY 14623-1212
Ph: (585) 279-7800 |
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