Dr Jennifer L Sudbrack, PHD in Covington, KY - Medicare Psychologist Provider

Dr Jennifer L Sudbrack, PHD is a medicare enrolled "Psychologist - Clinical" provider in Covington, Kentucky. Her current practice location is 722 Scott St, Covington, Kentucky. You can reach out to her office (for appointments etc.) via phone at (859) 431-2225.

Dr Jennifer L Sudbrack is licensed to practice in Kentucky (license number 1349) 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 1114970191.

Contact Information

	Dr Jennifer L Sudbrack, PHD
	722 Scott St, Covington, KY 41011-2418
	(859) 431-2225
	(859) 578-2388

Healthcare Provider's Profile

Full Name	Dr Jennifer L Sudbrack
Gender	Female
Speciality	Psychologist - Clinical
Location	722 Scott St, Covington, Kentucky
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1114970191
Provider Enumeration Date: 05/18/2006
Last Update Date: 02/11/2008

Medicare PECOS Information:

PECOS PAC ID: 7416051883
Enrollment ID: I20130604000300

Medical Identifiers

Medical identifiers for Dr Jennifer L Sudbrack such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1114970191	NPI	-	NPPES
0256	Other	KY	MEDICARE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	1349 (Kentucky)	Primary

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 Jennifer L Sudbrack 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 Jennifer L Sudbrack, PHD 502 Farrell Dr, Covington, KY 41011-3717 Ph: (859) 331-3292	Dr Jennifer L Sudbrack, PHD 722 Scott St, Covington, KY 41011-2418 Ph: (859) 431-2225

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Psychologist in Covington, KY

Lisa Grogan, Psychologist Medicare: Medicare Enrolled Practice Location: 502 Farrell Dr, Covington, KY 41011 Phone: 859-578-3200
Dr. Russell Radenhausen, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 722 Scott St, Covington, KY 41011 Phone: 859-431-2225 Fax: 859-431-2588
Gregory Todd Teismann, MA Psychologist Medicare: Not Enrolled in Medicare Practice Location: 502 Farrell Dr, Covington, KY 41011 Phone: 859-578-3244
Mrs. Paige Leann Brigmon, LPA Psychologist Medicare: Not Enrolled in Medicare Practice Location: 4339 Winston Ave, Covington, KY 41015 Phone: 859-835-2573
Lisa Carol Yee, B.A. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 503 Farrell Dr, Covington, KY 41011 Phone: 859-578-3208
Megan A. Rock, PSYD Psychologist Medicare: Medicare Enrolled Practice Location: 101 Winding Way Unit L, Covington, KY 41011 Phone: 601-519-9559

Dr Jennifer L Sudbrack, PHD - Medicare Psychologist in Covington, KY