Dr Jodi Polaha Jones, PHD in Johnson City, TN - Medicare Psychologist Provider

Dr Jodi Polaha Jones, PHD is a medicare enrolled "Psychologist - Clinical" provider in Johnson City, Tennessee. Her current practice location is 917 W Walnut St, Johnson City, Tennessee. You can reach out to her office (for appointments etc.) via phone at (423) 439-6464.

Dr Jodi Polaha Jones is licensed to practice in Tennessee (license number P2737) 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 1841472586.

Contact Information

	Dr Jodi Polaha Jones, PHD
	917 W Walnut St, Johnson City, TN 37604-6527
	(423) 439-6464
	(423) 439-7118

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Jodi Polaha Jones
Gender	Female
Speciality	Psychologist - Clinical
Location	917 W Walnut St, Johnson City, Tennessee
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1841472586
Provider Enumeration Date: 12/05/2007
Last Update Date: 01/18/2024

Medicare PECOS Information:

PECOS PAC ID: 8123179892
Enrollment ID: I20090620000004

Medical Identifiers

Medical identifiers for Dr Jodi Polaha Jones such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1841472586	NPI	-	NPPES
1514093	Medicaid	TN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	2737 (Tennessee)	Secondary
103TC0700X	Psychologist - Clinical	P2737 (Tennessee)	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 Jodi Polaha Jones allows following entities to bill medicare on her behalf.

Entity Name	Medical Education Assistance Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1235180480 PECOS PAC ID: 3870491269 Enrollment ID: O20040206000795

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 Jodi Polaha Jones 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 Jodi Polaha Jones, PHD Po Box 699, Mountain Home, TN 37684-0699 Ph: (423) 439-6464	Dr Jodi Polaha Jones, PHD 917 W Walnut St, Johnson City, TN 37604-6527 Ph: (423) 439-6464

Reviews and Comments

Psychologist in Johnson City, TN

Dr. Angela Jane Shelton, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 106 Pinnacle Dr, Suite 106, Johnson City, TN 37615 Phone: 423-525-3771
Shelley Ann Silvers, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: Corner Of Sydney And Lamont, James H Quillen Vamc, Johnson City, TN 37684 Phone: 423-926-1171
Ms. Deborah Lee Morrell, LPE Psychologist Medicare: Not Enrolled in Medicare Practice Location: 109 W Watauga Ave, Johnson City, TN 37604 Phone: 423-232-2600 Fax: 423-232-2646
Martha M. Kennon, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 119 Boone Ridge Dr, Suite 201, Johnson City, TN 37615 Phone: 423-282-1480
Dr. Steven L Gray, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 119 Boone Ridge Dr, Suite 201, Johnson City, TN 37615 Phone: 423-282-1480 Fax: 423-928-1353
Dr. Bess Lewis, PSYD Psychologist Medicare: Medicare Enrolled Practice Location: 1735 W State Franklin Road, Ste 5 #180, Johnson City, TN 37604 Phone: 423-631-5873
Dr. Jon R. Webb, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 807 University Pkwy, 139 Lucille Clement Hall, Johnson City, TN 37614 Phone: 423-439-7777 Fax: 423-439-7780

Dr Jodi Polaha Jones, PHD - Medicare Psychologist in Johnson City, TN