Jacqueline Becker, PHD is a medicare enrolled "Clinical Neuropsychologist" provider in New York, New York. She went to Fordham University School Of Medicine and graduated in 2017 and has 9 years of diverse experience with area of expertise as Clinical Psychologist. She is a member of the group practice Icahn School Of Medicine At Mount Sinai and 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
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and 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 Psychologist |
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| Experience | 9 Years |
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| Location | 17 E 102nd St, New York, New York |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Jacqueline Becker attended and graduated from Fordham University School Of Medicine in 2017
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 |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Icahn School Of Medicine At Mount Sinai | 2264691070 | 2809 |
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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