Jennifer Leigh Lippold, is a medicare enrolled "Psychologist - Clinical" provider in De Soto, Illinois. She graduated from medical school in 2023 and has 3 years of diverse experience with area of expertise as Clinical Psychologist. Her current practice location is
505 Lexington St, De Soto, Illinois. You can reach out to her office (for appointments etc.) via phone at
(815) 908-9146.
Jennifer Leigh Lippold is licensed to practice in Illinois (license number 071.022603) and she also participates in the medicare program. She
may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1558295972.
Healthcare Provider's Profile
| Full Name | Jennifer Leigh Lippold |
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| Gender | Female |
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| Speciality | Clinical Psychologist |
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| Experience | 3 Years |
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| Location | 505 Lexington St, De Soto, Illinois |
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| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Jennifer Leigh Lippold graduated from medical school in 2023
NPI Data:
- NPI Number: 1558295972
- Provider Enumeration Date: 06/10/2026
- Last Update Date: 06/10/2026
Medicare PECOS Information:
- PECOS PAC ID: 7810452901
- Enrollment ID: I20260720001341
Medical Identifiers
Medical identifiers for Jennifer Leigh Lippold such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1558295972 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 103TC0700X | Psychologist - Clinical | 071.022603 (Illinois) | Primary |
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 Leigh Lippold 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 |
Jennifer Leigh Lippold, 505 Lexington St, De Soto, IL 62924-1021 Ph: (815) 908-9146 | Jennifer Leigh Lippold, 505 Lexington St, De Soto, IL 62924-1021 Ph: (815) 908-9146 |
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