Ms Jennifer Grace Walter Lee, PHD is a medicare enrolled "Clinical Neuropsychologist" provider in Albuquerque, New Mexico. She graduated from medical school in 2018 and has 8 years of diverse experience with area of expertise as Clinical Psychologist. She is a member of the group practice Mcv Associated Physicians and her current practice location is
4001 Indian School Rd Ne, Albuquerque, New Mexico. You can reach out to her office (for appointments etc.) via phone at
(505) 272-6203.
Ms Jennifer Grace Walter Lee is licensed to practice in New Mexico (license number PSY1626) 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 1104171792.
Healthcare Provider's Profile
| Full Name | Ms Jennifer Grace Walter Lee |
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| Gender | Female |
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| Speciality | Clinical Psychologist |
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| Experience | 8 Years |
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| Location | 4001 Indian School Rd Ne, Albuquerque, New Mexico |
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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. |
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Medical Education and Training:
- Ms Jennifer Grace Walter Lee graduated from medical school in 2018
NPI Data:
- NPI Number: 1104171792
- Provider Enumeration Date: 07/19/2012
- Last Update Date: 09/18/2025
Medicare PECOS Information:
- PECOS PAC ID: 6406276096
- Enrollment ID: I20240313003165
Medical Identifiers
Medical identifiers for Ms Jennifer Grace Walter Lee such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1104171792 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 103TC0700X | Psychologist - Clinical | PSY1626 (New Mexico) | Secondary |
| 103G00000X | Clinical Neuropsychologist | PSY1626 (New Mexico) | Primary |
| 103T00000X | Psychologist | 0810008276 (Virginia) | Secondary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Mcv Associated Physicians | 4385542117 | 1784 |
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. Ms Jennifer Grace Walter Lee allows following entities to bill medicare on her behalf.
| Entity Name | Mcv Associated Physicians |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1710959457
PECOS PAC ID: 4385542117
Enrollment ID: O20031230000559 |
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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. Ms Jennifer Grace Walter Lee 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 |
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Ms Jennifer Grace Walter Lee, PHD
Po Box 780125,
Philadelphia, PA 19178-0125
Ph: (804) 922-4844 | Ms Jennifer Grace Walter Lee, PHD
4001 Indian School Rd Ne,
Albuquerque, NM 87110-3816
Ph: (505) 272-6203 |
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