Dr Jacquelyn M Gilles, PSYD in Louisville, KY - Medicare Clinical Psychologist Provider

Dr Jacquelyn M Gilles, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Louisville, Kentucky. She graduated from medical school in 2011 and has 13 years of diverse experience with area of expertise as Clinical Psychologist. She is a member of the group practice Mandala House, Llc and her current practice location is 1190 E Broadway, Louisville, Kentucky. You can reach out to her office (for appointments etc.) via phone at (502) 627-0905.

Dr Jacquelyn M Gilles is licensed to practice in Kentucky (license number 129842) 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 1124212972.

Contact Information

	Dr Jacquelyn M Gilles, PSYD
	1190 E Broadway, Louisville, KY 40204-1712
	(502) 627-0905
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Jacquelyn M Gilles
Gender	Female
Speciality	Clinical Psychologist
Experience	13 Years
Location	1190 E Broadway, Louisville, Kentucky
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Jacquelyn M Gilles graduated from medical school in 2011

NPI Data:

NPI Number: 1124212972
Provider Enumeration Date: 09/04/2007
Last Update Date: 10/21/2016

Medicare PECOS Information:

PECOS PAC ID: 9133492580
Enrollment ID: I20170913002014

Medical Identifiers

Medical identifiers for Dr Jacquelyn M Gilles such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1124212972	NPI	-	NPPES
129842	Other	KY	LICENSE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	2012-12 (Kentucky)	Secondary
103TC0700X	Psychologist - Clinical	1745 (Kentucky)	Secondary
103TC0700X	Psychologist - Clinical	129842 (Kentucky)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Mandala House, Llc	4789957135	8

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. Dr Jacquelyn M Gilles allows following entities to bill medicare on her behalf.

Entity Name	Mandala House, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1659829760 PECOS PAC ID: 4789957135 Enrollment ID: O20170906002088

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. Dr Jacquelyn M Gilles 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
Dr Jacquelyn M Gilles, PSYD 1190 E Broadway, Louisville, KY 40204-1712 Ph: (502) 627-0905	Dr Jacquelyn M Gilles, PSYD 1190 E Broadway, Louisville, KY 40204-1712 Ph: (502) 627-0905

Reviews and Comments

Psychologist in Louisville, KY

Mary K Thompson, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 903 Baxter Ave, Louisville, KY 40204 Phone: 502-458-7366 Fax: 502-458-7362
Dr. Ann M Brian, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1909 Richmond Dr, Louisville, KY 40205 Phone: 502-451-8816
Mr. Jeffery T Mercer, MA Psychologist Medicare: Medicare Enrolled Practice Location: 11003 Perwinkle Ln, Louisville, KY 40291 Phone: 502-618-2620
Dr. Nicholas Bach, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 350 Evergreen Rd Ste 104, Louisville, KY 40243 Phone: 502-203-0838
Dr. Stacy Lyn Cambron, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 7982 New Lagrange Rd, Suite 4, Louisville, KY 40222 Phone: 502-426-6022 Fax: 502-426-9913
Dr. Louis Earl Epstein, PH. D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3333 Bardstown Road, Louisville, KY 40218 Phone: 502-459-7433 Fax: 502-459-5650
Ms. Sandra Ellen Freedman, PSYCH. ASSOCIATE Psychologist Medicare: Not Enrolled in Medicare Practice Location: 9702 Stonestreet Rd, Ste. 110, Louisville, KY 40272 Phone: 502-589-8600 Fax: 502-589-8771

Dr Jacquelyn M Gilles, PSYD - Medicare Psychologist in Louisville, KY