Individual
DR. JERRY L. OESTMANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
136 JULIA ST UNIT 100, NEW SMYRNA BEACH, FL 32168-7713
(386) 423-9162
(386) 423-3094
Mailing address
1730 DUNLAWTON AVE, SUITE 3, PORT ORANGE, FL 32127-8985
(386) 957-3905
(386) 402-8992
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
396
NE
101YP2500X
Professional Counselor
188
NE
103T00000X
Psychologist
620
NE
103T00000X
Psychologist
Primary
PY9026
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
098935
MEDICARE FSI PTAN GROUP NUMBER
NE
05
—
10025208000
—
NE
05
—
10025208600
—
NE
05
—
10025208700
—
NE
05
—
1002550710
—
NE
05
—
10025668200
—
NE
01
—
250307
MIDLANDS INS
NE
01
—
345680000
MAGELLAN MIS ADOL GT
NE
01
—
349507000
MAGELLAN MIS WOMEN'S GT
NE
05
—
47052851500
—
NE
05
—
47052851502
—
NE
05
—
47052851503
—
NE
05
—
47052851504
—
NE
05
—
47052851509
—
NE
05
—
47052851581
—
NE
05
—
47075636930
—
NE
05
—
47075636998
—
NE
01
—
68505B002
TRICARE
NE
01
—
80023
BLUE CROSS & BLUE SHIELD
NE
01
—
81118
BCBS INDIVIDUAL PROVIDER NUMBER
NE
01
—
85731
BCBS
NE
Enumeration date
11/16/2006
Last updated
10/17/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us