Jacqueline Becker, PHD is a medicare enrolled "Clinical Neuropsychologist" provider in New York, New York. Her current practice location is
17 E 102nd St, New York, New York. You can reach out to her office (for appointments etc.) via phone at
(212) 659-8551.
Jacqueline Becker is licensed to practice in New York (license number 023364) 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 1992152250.
Healthcare Provider's Profile
| Full Name | Jacqueline Becker |
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| Gender | Female |
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| Speciality | Clinical Neuropsychologist |
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| Location | 17 E 102nd St, New York, New York |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1992152250
- Provider Enumeration Date: 05/17/2016
- Last Update Date: 10/16/2024
Medicare PECOS Information:
- PECOS PAC ID: 9436680980
- Enrollment ID: I20241008002112
Medical Identifiers
Medical identifiers for Jacqueline Becker such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1992152250 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103TB0200X | Psychologist - Cognitive & Behavioral | 023364 (New York) | Secondary |
| 103TC0700X | Psychologist - Clinical | 023364 (New York) | Secondary |
| 103G00000X | Clinical Neuropsychologist | 023364 (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. Jacqueline Becker allows following entities to bill medicare on her behalf.
| Entity Name | Icahn School Of Medicine At Mount Sinai |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1124550280
PECOS PAC ID: 2264691070
Enrollment ID: O20121227000330 |
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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. Jacqueline Becker 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 |
|---|
Jacqueline Becker, PHD
1 Gustave L Levy Pl,
New York, NY 10029-6504
Ph: (305) 582-4962 | Jacqueline Becker, PHD
17 E 102nd St,
New York, NY 10029-5204
Ph: (212) 659-8551 |
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