Dr Jane Marie Vansickle, PHD, LP is a medicare enrolled "Psychologist" provider in Granite Falls, Minnesota. Her current practice location is
345 10th Ave, Granite Falls, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(320) 564-6200.
Dr Jane Marie Vansickle is licensed to practice in Minnesota (license number LP3973) 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 1992852602.
Healthcare Provider's Profile
Full Name | Dr Jane Marie Vansickle |
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Gender | Female |
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Speciality | Psychologist |
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Location | 345 10th Ave, Granite Falls, Minnesota |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1992852602
- Provider Enumeration Date: 01/04/2007
- Last Update Date: 01/20/2019
Medicare PECOS Information:
- PECOS PAC ID: 7416220884
- Enrollment ID: I20170906002970
Medical Identifiers
Medical identifiers for Dr Jane Marie Vansickle such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1992852602 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | 10537 (North Carolina) | Secondary |
103T00000X | Psychologist | LP3973 (Minnesota) | 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. Dr Jane Marie Vansickle allows following entities to bill medicare on her behalf.
Entity Name | Avera Granite Falls |
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Entity Type | Part A Provider - Critical Access Hospital |
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Entity Identifiers | NPI Number: 1700429610 PECOS PAC ID: 1456784560 Enrollment ID: O20191204000103 |
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Entity Name | Avera Granite Falls |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1700429644 PECOS PAC ID: 1456784560 Enrollment ID: O20200106000646 |
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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. Dr Jane Marie Vansickle 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 Jane Marie Vansickle, PHD, LP 345 10th Ave, Granite Falls, MN 56241-1442 Ph: (612) 564-6200 | Dr Jane Marie Vansickle, PHD, LP 345 10th Ave, Granite Falls, MN 56241-1442 Ph: (320) 564-6200 |
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