Jason Henle, PHD - Medicare Psychologist in Augusta, GA

Jason Henle, PHD is a medicare enrolled "Psychologist - Clinical" provider in Augusta, Georgia. His current practice location is 997 Saint Sebastian Way, Augusta, Georgia. You can reach out to his office (for appointments etc.) via phone at (706) 721-6597.

Jason Henle is licensed to practice in Georgia (license number PSY003374) 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 1023393923.

Contact Information

Jason Henle, PHD
997 Saint Sebastian Way,
Augusta, GA 30912-2613
(706) 721-6597
(706) 721-6602



Healthcare Provider's Profile

Full NameJason Henle
GenderMale
SpecialityPsychologist - Clinical
Location997 Saint Sebastian Way, Augusta, Georgia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1023393923
  • Provider Enumeration Date: 10/12/2011
  • Last Update Date: 07/28/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 2264605245
  • Enrollment ID: I20111108000510

Medical Identifiers

Medical identifiers for Jason Henle such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1023393923NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical PSY003374 (Georgia)Primary

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. Jason Henle allows following entities to bill medicare on his behalf.
Entity NameAugusta University
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1760559124
PECOS PAC ID: 0840188090
Enrollment ID: O20040309000453

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Entity NameWellstar Medical Group, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1558664003
PECOS PAC ID: 6709065402
Enrollment ID: O20110127000374

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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. Jason Henle 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
Jason Henle, PHD
1120 15th St, Ste Bi1056,
Augusta, GA 30912-0004

Ph: (706) 721-3813
Jason Henle, PHD
997 Saint Sebastian Way,
Augusta, GA 30912-2613

Ph: (706) 721-6597

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› Verified 3 days ago


Psychologist in Augusta, GA

Dr. Sonya Yvette Medina, PH.D.
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 1 Freedom Way, Augusta, GA 30904
Phone: 706-733-0188    
Dr. Cameron Mosley, PH.D.
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 1120 15th St, Augusta, GA 30912
Phone: 706-288-8401    Fax: 706-828-8401
Sue V Moore, MS, LPC
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 448 Telfair St, Augusta, GA 30901
Phone: 706-722-7788    Fax: 706-724-8300
Dr. Lori T. Welch-sigmon, PH.D.
Psychologist
Medicare: Medicare Enrolled
Practice Location: 1120 15th St, Augusta, GA 30912
Phone: 706-721-8623    
Patrick A. Boudewyns, PHD
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 1120 15th St, Augusta, GA 30912
Phone: 706-721-3141    Fax: 706-721-6602
Ralph A. Gillies, PHD
Psychologist
Medicare: Medicare Enrolled
Practice Location: 1120 15th St, Augusta, GA 30912
Phone: 706-721-4588    Fax: 706-721-7264

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