Jennifer Romans Burgoon, PHD, - Medicare Psychologist in Bennington, VT

Jennifer Romans Burgoon, PHD, is a medicare enrolled "Psychologist - Clinical" provider in Bennington, Vermont. She graduated from medical school in 2013 and has 11 years of diverse experience with area of expertise as Clinical Psychologist. She is a member of the group practice Deer Oaks Mental Health Associates Pc and her current practice location is 160 Hospital Dr, Bennington, Vermont. You can reach out to her office (for appointments etc.) via phone at (210) 615-3483.

Jennifer Romans Burgoon is licensed to practice in Vermont (license number 048.0132428) 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 1144343054.

Contact Information

Jennifer Romans Burgoon, PHD,
160 Hospital Dr,
Bennington, VT 05201-2279
(210) 615-3483
Not Available



Healthcare Provider's Profile

Full NameJennifer Romans Burgoon
GenderFemale
SpecialityClinical Psychologist
Experience11 Years
Location160 Hospital Dr, Bennington, Vermont
Accepts Medicare AssignmentsYes. 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 Romans Burgoon graduated from medical school in 2013
  NPI Data:
  • NPI Number: 1144343054
  • Provider Enumeration Date: 04/06/2007
  • Last Update Date: 09/28/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 3779873583
  • Enrollment ID: I20181107000069

Medical Identifiers

Medical identifiers for Jennifer Romans Burgoon such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1144343054NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical PSY28112 (California)Secondary
106H00000XMarriage & Family Therapist 51200 (California)Secondary
103TC0700XPsychologist - Clinical 048.0132428 (Vermont)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Deer Oaks Mental Health Associates Pc226433701335

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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 Romans Burgoon allows following entities to bill medicare on her behalf.
Entity NameDeer Oaks Mental Health Associates Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1134175763
PECOS PAC ID: 2264337013
Enrollment ID: O20040930000711

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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 Romans Burgoon 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 Romans Burgoon, PHD,
Po Box 4412,
Bennington, VT 05201-4412

Ph: (802) 430-8355
Jennifer Romans Burgoon, PHD,
160 Hospital Dr,
Bennington, VT 05201-2279

Ph: (210) 615-3483

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Psychologist in Bennington, VT

Bernard M Bandman, PH.D.
Psychologist
Medicare: Accepting Medicare Assignments
Practice Location: 160 Benmont Ave, Bennington, VT 05201
Phone: 802-447-0037    Fax: 802-442-8721
Laura Budde, LICSW
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 100 Ledgehill Rd, Bennington, VT 05201
Phone: 802-442-5491    Fax: 802-442-4910
Barbara M Hand, MA
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 100 Ledgehill Rd, Bennington, VT 05201
Phone: 802-442-5491    
Dr. Jeremy Ray Sullivan, PSY.D
Psychologist
Medicare: Medicare Enrolled
Practice Location: 655 Main St, Bennington, VT 05201
Phone: 413-347-6679    
Dean E Hammer, PSY.D.
Psychologist
Medicare: Accepting Medicare Assignments
Practice Location: 100 Ledgehill Rd, Bennington, VT 05201
Phone: 802-442-5491    Fax: 802-442-3363
Doris M Russell, PH.D.
Psychologist
Medicare: Accepting Medicare Assignments
Practice Location: 100 Ledgehill Rd, Bennington, VT 05201
Phone: 802-442-5491    Fax: 802-442-3363

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