| Jared A Doegey, | |
|
1683 Cirrus Way, Beaumont, CA 92223-3232 | |
| (409) 888-1411 | |
| Not Available |
| Full Name | Jared A Doegey |
|---|---|
| Gender | Male |
| Speciality | Psychologist - Clinical |
| Location | 1683 Cirrus Way, Beaumont, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922634492 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 31677 (California) | Primary |
| Entity Name | Breakthrough Psychology Group Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457095986 PECOS PAC ID: 3577940279 Enrollment ID: O20220518002901 |
| Mailing Address | Practice Location Address |
|---|---|
| Jared A Doegey, 1683 Cirrus Way, Beaumont, CA 92223-3232 Ph: (409) 888-1411 | Jared A Doegey, 1683 Cirrus Way, Beaumont, CA 92223-3232 Ph: (409) 888-1411 |
Miranda Elizabeth Bravo Alkaddumi, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1435 Begonia Way, Beaumont, CA 92223 Phone: 951-204-7275 | |
Christine M Mcmahon, PSY.D Psychologist Medicare: Accepting Medicare Assignments Practice Location: 790 Beaumont Ave, #224, Beaumont, CA 92223 Phone: 951-845-9860 Fax: 951-845-9148 | |
Dr. Jerry Turner, LEP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1584 Green Creek Trl, Beaumont, CA 92223 Phone: 951-453-8721 |