Jennifer D'agostino, - Medicare Psychologist in Dyer, IN

  1. Home
  2. Psychologists
  3. IN
  4. Dyer
Jennifer D'agostino, is a medicare enrolled "Psychologist - Clinical" provider in Dyer, Indiana. Her current practice location is 2613 Lakewood Dr, Dyer, Indiana. You can reach out to her office (for appointments etc.) via phone at (626) 554-0408.

Jennifer D'agostino is licensed to practice in Indiana (license number 20043536B) 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 1528547494.

Contact Information

Jennifer D'agostino,
2613 Lakewood Dr,
Dyer, IN 46311-2133
(626) 554-0408
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameJennifer D'agostino
GenderFemale
SpecialityPsychologist - Clinical
Location2613 Lakewood Dr, Dyer, Indiana
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1528547494
  • Provider Enumeration Date: 08/10/2018
  • Last Update Date: 12/17/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 0042606923
  • Enrollment ID: I20220331002506

Medical Identifiers

Medical identifiers for Jennifer D'agostino such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1528547494NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical 20043536B (Indiana)Primary
103TC0700XPsychologist - Clinical 20043536A (Indiana)Secondary

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. Jennifer D'agostino allows following entities to bill medicare on her behalf.
Entity NameSouthlake Community Mental Health Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1821081290
PECOS PAC ID: 5991600355
Enrollment ID: O20040513000199
Entity NameThrive Counseling Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1215181300
PECOS PAC ID: 0749458420
Enrollment ID: O20210621001732

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. Jennifer D'agostino 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 AddressPractice Location Address
Jennifer D'agostino,
2613 Lakewood Dr,
Dyer, IN 46311-2133

Ph: (626) 554-0408		Jennifer D'agostino,
2613 Lakewood Dr,
Dyer, IN 46311-2133

Ph: (626) 554-0408

Reviews and Comments


Psychologist in Dyer, IN

Dr. Brian P Jula, PSYD
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 24 Joliet St, Dyer, IN 46311
Phone: 219-322-5747    Fax: 219-864-2282
Dr. Erin Elizabeth Burrell, PSY.D., HSPP
Psychologist
Medicare: Accepting Medicare Assignments
Practice Location: 1118 Jackson Pl, Dyer, IN 46311
Phone: 773-870-9079    
Dr. Dawn Niedner, PH.D.
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 24 Joliet St, Dyer, IN 46311
Phone: 219-322-5747    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.