Jennifer Lynn Pellicano, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Sandwich, Illinois. She graduated from medical school in 2013 and has 11 years of diverse experience with area of expertise as Clinical Psychologist. Her current practice location is
207 E Church St, Suite A, Sandwich, Illinois. You can reach out to her office (for appointments etc.) via phone at
(815) 786-8606.
Jennifer Lynn Pellicano is licensed to practice in Illinois (license number 071008942) 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 1225426570.
Healthcare Provider's Profile
Full Name | Jennifer Lynn Pellicano |
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Gender | Female |
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Speciality | Clinical Psychologist |
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Experience | 11 Years |
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Location | 207 E Church St, Sandwich, Illinois |
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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:
- Jennifer Lynn Pellicano graduated from medical school in 2013
NPI Data:
- NPI Number: 1225426570
- Provider Enumeration Date: 01/08/2015
- Last Update Date: 03/13/2017
Medicare PECOS Information:
- PECOS PAC ID: 4183941339
- Enrollment ID: I20150326001701
Medical Identifiers
Medical identifiers for Jennifer Lynn Pellicano such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1225426570 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103TC0700X | Psychologist - Clinical | 071008942 (Illinois) | 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. Jennifer Lynn Pellicano allows following entities to bill medicare on her behalf.
Entity Name | Compass Behavioral Health And Wellness Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1225525918 PECOS PAC ID: 7810242070 Enrollment ID: O20180612003271 |
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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. Jennifer Lynn Pellicano 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 Lynn Pellicano, PSYD 1120 E Main St, Suite 201, St Charles, IL 60174-2287 Ph: (630) 377-6613 | Jennifer Lynn Pellicano, PSYD 207 E Church St, Suite A, Sandwich, IL 60548-9803 Ph: (815) 786-8606 |
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