Jared A Doegey, is a medicare enrolled "Psychologist - Clinical Child & Adolescent" provider in White House, Tennessee. He graduated from medical school in 2017 and has 9 years of diverse experience with area of expertise as Clinical Psychologist. His current practice location is
511 Ballard Dr, White House, Tennessee. You can reach out to his office (for appointments etc.) via phone at
(409) 888-1411.
Jared A Doegey is licensed to practice in California (license number 31677) and he also participates in the medicare program. He
may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1922634492.
Healthcare Provider's Profile
| Full Name | Jared A Doegey |
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| Gender | Male |
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| Speciality | Clinical Psychologist |
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| Experience | 9 Years |
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| Location | 511 Ballard Dr, White House, Tennessee |
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| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Jared A Doegey graduated from medical school in 2017
NPI Data:
- NPI Number: 1922634492
- Provider Enumeration Date: 03/17/2020
- Last Update Date: 02/27/2026
Medicare PECOS Information:
- PECOS PAC ID: 7719308360
- Enrollment ID: I20260324000117
Medical Identifiers
Medical identifiers for Jared A Doegey such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1922634492 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 103TC2200X | Psychologist - Clinical Child & Adolescent | 31677 (California) | 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. Jared A Doegey allows following entities to bill medicare on his behalf.
| Entity Name | Breakthrough Psychology Group PC |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1457095986
PECOS PAC ID: 3577940279
Enrollment ID: O20260324000054 |
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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. Jared A Doegey 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 |
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Jared A Doegey,
1683 Cirrus Way,
Beaumont, CA 92223-3232
Ph: (409) 888-1411 | Jared A Doegey,
511 Ballard Dr,
White House, TN 37188-2013
Ph: (409) 888-1411 |
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