Jennifer J Fog, PHD - Medicare Psychologist in Covina, CA

Jennifer J Fog, PHD is a medicare enrolled "Psychologist" provider in Covina, California. Her current practice location is 315 N 3rd Ave, Suite 300, Covina, California. You can reach out to her office (for appointments etc.) via phone at (626) 859-2686.

Jennifer J Fog is licensed to practice in California (license number PSY6815) 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 1114944014.

Contact Information

Jennifer J Fog, PHD
315 N 3rd Ave, Suite 300,
Covina, CA 91723-1905
(626) 859-2686
(626) 859-2686



Healthcare Provider's Profile

Full NameJennifer J Fog
GenderFemale
SpecialityPsychologist
Location315 N 3rd Ave, Covina, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1114944014
  • Provider Enumeration Date: 07/16/2006
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 0648223297
  • Enrollment ID: I20050223000985

Medical Identifiers

Medical identifiers for Jennifer J Fog such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1114944014NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103T00000XPsychologist PSY6815 (California)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. Jennifer J Fog 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 J Fog, PHD
315 N 3rd Ave, Suite 300,
Covina, CA 91723-1905

Ph: (626) 859-2686
Jennifer J Fog, PHD
315 N 3rd Ave, Suite 300,
Covina, CA 91723-1905

Ph: (626) 859-2686

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Psychologist in Covina, CA

Mckenzie Marchan,
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 540 S Eremland Dr, Covina, CA 91723
Phone: 626-966-1577    
Dr. Susan L. Thrasher, PH.D.
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 500 W Badillo St, Covina, CA 91722
Phone: 626-859-2686    Fax: 626-859-2685
Dr. Ma'sha Smith, PSYD, PPS
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 1359 N Grand Ave, Covina, CA 91724
Phone: 626-430-2908    
Julianne Donner Jameson, PHD
Psychologist
Medicare: Medicare Enrolled
Practice Location: 750 Terrado Plz, #49, Covina, CA 91723
Phone: 626-201-6643    Fax: 626-967-3015
Ms. Armash Derzakarian, PSYD
Psychologist
Medicare: Medicare Enrolled
Practice Location: 540 S Eremland Dr, Covina, CA 91723
Phone: 626-966-1577    
Dr. Fulviu Mihai Fodoreanu, PSYD
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 536 S 2nd Ave, Covina, CA 91723
Phone: 626-479-2029    Fax: 626-479-2029

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