Jennifer Ortiz, PSYD - Medicare Psychologist in Yulee, FL

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Jennifer Ortiz, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Yulee, Florida. Her current practice location is 851042 Us Highway 17, Yulee, Florida. You can reach out to her office (for appointments etc.) via phone at (904) 376-3800.

Jennifer Ortiz is licensed to practice in Florida (license number PY10296) 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 1235490491.

Contact Information

Jennifer Ortiz, PSYD
851042 Us Highway 17,
Yulee, FL 32097-2845
(904) 376-3800
(904) 390-7403

Map and Direction




Healthcare Provider's Profile

Full NameJennifer Ortiz
GenderFemale
SpecialityPsychologist - Clinical
Location851042 Us Highway 17, Yulee, Florida
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1235490491
  • Provider Enumeration Date: 06/05/2012
  • Last Update Date: 10/23/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 3678817160
  • Enrollment ID: I20181211001292

Medical Identifiers

Medical identifiers for Jennifer Ortiz such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1235490491NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical PY10296 (Florida)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 Ortiz allows following entities to bill medicare on her behalf.
Entity NameBaptist Behavioral Health Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1215906649
PECOS PAC ID: 7315166394
Enrollment ID: O20140924001767

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 Ortiz 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 Ortiz, PSYD
Po Box 748519,
Atlanta, GA 30374-8519

Ph: (904) 376-3800		Jennifer Ortiz, PSYD
851042 Us Highway 17,
Yulee, FL 32097-2845

Ph: (904) 376-3800

Reviews and Comments


Psychologist in Yulee, FL

Gerilyn C Worthy-thayer, PH.D.
Psychologist
Medicare: Accepting Medicare Assignments
Practice Location: 851042 Us Highway 17, Yulee, FL 32097
Phone: 904-376-3800    Fax: 904-390-7403
Joshua A Kalman, PSY.D.
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 87010 Professional Way, Yulee, FL 32097
Phone: 904-376-3800    Fax: 904-396-8969
Dr. Ivey Annette Mitchell,
Psychologist
Medicare: Medicare Enrolled
Practice Location: 96679 Commodore Point Dr, Yulee, FL 32097
Phone: 239-634-0743    

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.