David Roy Drustrup, is a medicare enrolled "Psychologist - Clinical" provider in Des Moines, Iowa. His current practice location is
3509 E 29th St, Des Moines, Iowa. You can reach out to his office (for appointments etc.) via phone at
(515) 248-1600.
David Roy Drustrup is licensed to practice in Iowa (license number 122027) 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 1891158432.
Healthcare Provider's Profile
| Full Name | David Roy Drustrup |
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| Gender | Male |
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| Speciality | Psychologist - Clinical |
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| Location | 3509 E 29th St, Des Moines, Iowa |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1891158432
- Provider Enumeration Date: 03/31/2016
- Last Update Date: 08/29/2023
Medicare PECOS Information:
- PECOS PAC ID: 4587002753
- Enrollment ID: I20240406000479
Medical Identifiers
Medical identifiers for David Roy Drustrup such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1891158432 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 101YP2500X | Counselor - Professional | PCCI4118 (California) | Secondary |
| 103TC0700X | Psychologist - Clinical | 0051 (Iowa) | Secondary |
| 103TC0700X | Psychologist - Clinical | 122027 (Iowa) | 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. David Roy Drustrup allows following entities to bill medicare on his behalf.
| Entity Name | Primary Health Care Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1588692487
PECOS PAC ID: 8426966755
Enrollment ID: O20031106000487 |
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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. David Roy Drustrup 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 |
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David Roy Drustrup,
1200 University Ave Ste 200,
Des Moines, IA 50314-2355
Ph: (515) 248-1447 | David Roy Drustrup,
3509 E 29th St,
Des Moines, IA 50317-4253
Ph: (515) 248-1600 |
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