Dr Jie Jiao, PHD in Peoria, IL - Medicare Clinical Psychologist Provider

Dr Jie Jiao, PHD is a medicare enrolled "Psychologist - Clinical" provider in Peoria, Illinois. She graduated from medical school in 2012 and has 14 years of diverse experience with area of expertise as Clinical Psychologist. She is a member of the group practice Edgewood Clinical Services P.c. and her current practice location is 5901 N Prospect Rd Ste 202, Peoria, Illinois. You can reach out to her office (for appointments etc.) via phone at (888) 428-7890.

Dr Jie Jiao is licensed to practice in Illinois (license number 071008880) 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 1053720284.

Contact Information

	Dr Jie Jiao, PHD
	5901 N Prospect Rd Ste 202, Peoria, IL 61614-4358
	(888) 428-7890
	(877) 428-7890

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Jie Jiao
Gender	Female
Speciality	Clinical Psychologist
Experience	14 Years
Location	5901 N Prospect Rd Ste 202, Peoria, Illinois
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:

Dr Jie Jiao graduated from medical school in 2012

NPI Data:

NPI Number: 1053720284
Provider Enumeration Date: 08/13/2014
Last Update Date: 07/27/2023

Medicare PECOS Information:

PECOS PAC ID: 9032330329
Enrollment ID: I20141030001566

Medical Identifiers

Medical identifiers for Dr Jie Jiao such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1053720284	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	071008880 (Illinois)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Edgewood Clinical Services P.c.	3971963901	190

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. Dr Jie Jiao allows following entities to bill medicare on her behalf.

Entity Name	Psychology Specialists Ltd
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1053368605 PECOS PAC ID: 9739152380 Enrollment ID: O20050112000476

Entity Name	Edgewood Clinical Services P.c.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1295914646 PECOS PAC ID: 3971963901 Enrollment ID: O20230721001228

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. Dr Jie Jiao 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
Dr Jie Jiao, PHD 5901 N Prospect Rd Ste 202, Peoria, IL 61614-4358 Ph: (888) 428-7890	Dr Jie Jiao, PHD 5901 N Prospect Rd Ste 202, Peoria, IL 61614-4358 Ph: (888) 428-7890

Reviews and Comments

Psychologist in Peoria, IL

Brycie Weiden, PSY.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 515 Ne Glen Oak Ave Ste 101, Peoria, IL 61603 Phone: 309-655-7378
Dr. Jennifer Rebecca Shibley, PSY.D., M.S. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 900 Main St, Suite 780, Peoria, IL 61602 Phone: 309-672-5946 Fax: 309-672-3155
Patresa R Brager, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 515 Ne Glen Oak Ave, Peoria, IL 61637 Phone: 309-655-6724 Fax: 309-655-4408
Jean L Clore, PHD Psychologist Medicare: Medicare Enrolled Practice Location: 221 Ne Glen Oak Ave, 7 West, Peoria, IL 61636 Phone: 309-671-8222
Dawn C Roberts, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 4307 W Rustic Hollow Dr, Peoria, IL 61615 Phone: 309-712-2744
Dr. Mary Mccartney Keil, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 411 Dr. Martin Luther King Jr. Drive, Peoria, IL 61605 Phone: 309-497-0790

Dr Jie Jiao, PHD - Medicare Psychologist in Peoria, IL