Dr Jeremy Dale Jinkerson, PHD in Travis Afb, CA - Medicare Clinical Neuropsychologist Provider

Dr Jeremy Dale Jinkerson, PHD is a medicare enrolled "Clinical Neuropsychologist" provider in Travis Afb, California. His current practice location is 101 Bodin Cir, Travis Afb, California. You can reach out to his office (for appointments etc.) via phone at (210) 916-7641.

Dr Jeremy Dale Jinkerson is licensed to practice in Virginia (license number 0810005876) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1760629315.

Contact Information

	Dr Jeremy Dale Jinkerson, PHD
	101 Bodin Cir, Travis Afb, CA 94535-1809
	(210) 916-7641
	Not Available

Healthcare Provider's Profile

Full Name	Dr Jeremy Dale Jinkerson
Gender	Male
Speciality	Clinical Neuropsychologist
Location	101 Bodin Cir, Travis Afb, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1760629315
Provider Enumeration Date: 01/18/2009
Last Update Date: 07/21/2023

Medicare PECOS Information:

PECOS PAC ID: 4486017563
Enrollment ID: I20230823002265

Medical Identifiers

Medical identifiers for Dr Jeremy Dale Jinkerson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1760629315	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	0810005876 (Virginia)	Secondary
103G00000X	Clinical Neuropsychologist	0810005876 (Virginia)	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 Jeremy Dale Jinkerson 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 Jeremy Dale Jinkerson, PHD 101 Bodin Cir, Travis Afb, CA 94535-1809 Ph: () -	Dr Jeremy Dale Jinkerson, PHD 101 Bodin Cir, Travis Afb, CA 94535-1809 Ph: (210) 916-7641

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Dr Jeremy Dale Jinkerson, PHD - Medicare in Travis Afb, CA