Mary Jo Jeffres Phd, Llc - Medicare Mental Health Clinic in Riverton, WY

Mary Jo Jeffres Phd, Llc is a medicare enrolled mental health clinic (Psychologist - Clinical) in Riverton, Wyoming. The current practice location for Mary Jo Jeffres Phd, Llc is 103 N 5th St E, Riverton, Wyoming. For appointments, you can reach them via phone at (307) 463-0890. The mailing address for Mary Jo Jeffres Phd, Llc is 103 N 5th St E, Riverton, Wyoming and phone number is (307) 463-0890.

Mary Jo Jeffres Phd, Llc is licensed to practice in Wyoming (license number 421). The clinic also participates in the medicare program and its NPI number is 1962563361. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (307) 463-0890.

Contact Information

Mary Jo Jeffres Phd, Llc
103 N 5th St E
Riverton
WY 82501-4402
(307) 463-0890
(307) 463-0891

Mental Health Clinic Profile

Full NameMary Jo Jeffres Phd, Llc
SpecialityPsychologist
Location103 N 5th St E, Riverton, Wyoming
Authorized Official Name and PositionMary Jo Jeffres (OWNER)
Authorized Official Contact3074630890
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mary Jo Jeffres Phd, Llc
103 N 5th St E
Riverton
WY 82501-4402

Ph: (307) 463-0890
Mary Jo Jeffres Phd, Llc
103 N 5th St E
Riverton
WY 82501-4402

Ph: (307) 463-0890

NPI Details:

NPI Number1962563361
Provider Enumeration Date12/12/2006
Last Update Date07/21/2022

Medicare PECOS Information:

Medicare PECOS PAC ID1759488380
Medicare Enrollment IDO20130528000127

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Medical Identifiers

Medical identifiers for Mary Jo Jeffres Phd, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1962563361NPI-NPPES
121869700MedicaidWY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical 421 (Wyoming)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Mary Jo Jeffres Phd, Llc acts as a billing entity for following providers:
Provider NameMary Jo Jeffres
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1629013784
PECOS PAC ID: 6103854955
Enrollment ID: I20051117000306

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Psychologist in Riverton, WY

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