Dr Jennifer D Kennedy, PSYD - Medicare Psychologist in Lacey, WA

Dr Jennifer D Kennedy, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Lacey, Washington. Her current practice location is 5120 Nuthatch Ct Ne, Lacey, Washington. You can reach out to her office (for appointments etc.) via phone at (360) 890-0694.

Dr Jennifer D Kennedy is licensed to practice in Washington (license number PY60869052) 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 1548823917.

Contact Information

Dr Jennifer D Kennedy, PSYD
5120 Nuthatch Ct Ne,
Lacey, WA 98516-4528
(360) 890-0694
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameDr Jennifer D Kennedy
GenderFemale
SpecialityPsychologist - Clinical
Location5120 Nuthatch Ct Ne, Lacey, Washington
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1548823917
  • Provider Enumeration Date: 04/20/2019
  • Last Update Date: 04/20/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 7719314400
  • Enrollment ID: I20200218002175

Medical Identifiers

Medical identifiers for Dr Jennifer D Kennedy such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1548823917NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical PY60869052 (Washington)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. Dr Jennifer D Kennedy allows following entities to bill medicare on her behalf.
Entity NameWagaman Enterprises Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1740461854
PECOS PAC ID: 0345388641
Enrollment ID: O20100614000312

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 Jennifer D Kennedy 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 AddressPractice Location Address
Dr Jennifer D Kennedy, PSYD
5120 Nuthatch Ct Ne,
Lacey, WA 98516-4528

Ph: (360) 890-0694
Dr Jennifer D Kennedy, PSYD
5120 Nuthatch Ct Ne,
Lacey, WA 98516-4528

Ph: (360) 890-0694

Reviews and Comments


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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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