Dr Jill Marie Brenneman, PHD in Worthington, OH - Medicare Psychologist Provider

Dr Jill Marie Brenneman, PHD is a medicare enrolled "Psychologist - Clinical Child & Adolescent" provider in Worthington, Ohio. Her current practice location is 445 E Dublin Granville Rd, Worthington, Ohio. You can reach out to her office (for appointments etc.) via phone at (614) 436-7837.

Dr Jill Marie Brenneman is licensed to practice in Ohio (license number P.08713) 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 1619645157.

Contact Information

	Dr Jill Marie Brenneman, PHD
	445 E Dublin Granville Rd, Worthington, OH 43085-3192
	(614) 436-7837
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Jill Marie Brenneman
Gender	Female
Speciality	Psychologist - Clinical Child & Adolescent
Location	445 E Dublin Granville Rd, Worthington, Ohio
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1619645157
Provider Enumeration Date: 08/31/2021
Last Update Date: 12/13/2024

Medicare PECOS Information:

PECOS PAC ID: 0446780167
Enrollment ID: I20250211002476

Medical Identifiers

Medical identifiers for Dr Jill Marie Brenneman such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1619645157	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC2200X	Psychologist - Clinical Child & Adolescent	P.08713 (Ohio)	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 Jill Marie Brenneman allows following entities to bill medicare on her behalf.

Entity Name	I Am Boundless Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1891458477 PECOS PAC ID: 9931596103 Enrollment ID: O20220419000971

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 Jill Marie Brenneman 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 Jill Marie Brenneman, PHD 445 E Dublin Granville Rd, Worthington, OH 43085-3192 Ph: (614) 436-7837	Dr Jill Marie Brenneman, PHD 445 E Dublin Granville Rd, Worthington, OH 43085-3192 Ph: (614) 436-7837

Reviews and Comments

Psychologist in Worthington, OH

Dr. Matthew Free, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 6797 N High St Ste 214, Worthington, OH 43085 Phone: 614-638-8119
Christina Clark, Psychologist Medicare: Medicare Enrolled Practice Location: 666 High St, Suite 200-d, Worthington, OH 43085 Phone: 614-430-8920 Fax: 614-430-8920
Dr. Catherine M Malkin, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 7100 N High St, Suite 205, Worthington, OH 43085 Phone: 614-505-6949 Fax: 614-505-6558
Dr. Sandra L. Shullman, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 500 W Wilson Bridge Rd, Suite 30, Worthington, OH 43085 Phone: 641-573-3200
Dr. Lisa K Mccarthy, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 7100 North High Street, Suite 205, Worthington, OH 43085 Phone: 614-888-1800 Fax: 614-888-9664
Dr. Pamela Sue Highlen, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 450 W Wilson Bridge Rd, Suite 350, Worthington, OH 43085 Phone: 614-436-6080
Dr. Richard Keith Russell, PH.D Psychologist Medicare: Not Enrolled in Medicare Practice Location: 450 W Wilson Bridge Rd, Suite 350, Worthington, OH 43085 Phone: 614-436-6080

Dr Jill Marie Brenneman, PHD - Medicare Psychologist in Worthington, OH