Dr Mi-yeoung Jo, PSYD, ABPP is a medicare enrolled "Clinical Neuropsychologist" provider in Sherman Oaks, California. Her current practice location is
15335 Morrison St Ste 205, Sherman Oaks, California. You can reach out to her office (for appointments etc.) via phone at
(818) 647-0105.
Dr Mi-yeoung Jo is licensed to practice in New York (license number 014787) 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 1245269117.
Healthcare Provider's Profile
| Full Name | Dr Mi-yeoung Jo |
|---|
| Gender | Female |
|---|
| Speciality | Clinical Neuropsychologist |
|---|
| Location | 15335 Morrison St Ste 205, Sherman Oaks, California |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1245269117
- Provider Enumeration Date: 07/02/2006
- Last Update Date: 10/25/2018
Medicare PECOS Information:
- PECOS PAC ID: 4385607266
- Enrollment ID: I20090115000764
Medical Identifiers
Medical identifiers for Dr Mi-yeoung Jo such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1245269117 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 103TC0700X | Psychologist - Clinical | 20814 (California) | Secondary |
| 103G00000X | Clinical Neuropsychologist | 014787 (New York) | 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 Mi-yeoung Jo allows following entities to bill medicare on her behalf.
| Entity Name | Jo Neuroassessment Center |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1215455670 PECOS PAC ID: 2668738782 Enrollment ID: O20171106002760 |
|---|
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 Mi-yeoung Jo 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 Mi-yeoung Jo, PSYD, ABPP 15335 Morrison St Ste 205, Sherman Oaks, CA 91403-1585 Ph: (818) 647-0105 | Dr Mi-yeoung Jo, PSYD, ABPP 15335 Morrison St Ste 205, Sherman Oaks, CA 91403 Ph: (818) 647-0105 |
Reviews and Comments