Dr Jerry L Oestmann, PHD is a medicare enrolled "Psychologist" provider in Port Orange, Florida. He graduated from healthcare school in 2000 and has 25 years of diverse experience with area of expertise as Clinical Psychologist. His current practice location is
1730 Dunlawton Ave, Suite 3, Port Orange, Florida. You can reach out to his office (for appointments etc.) via phone at
(386) 957-3905.
Dr Jerry L Oestmann is licensed to practice in Florida (license number PY9026) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1790858959.
Healthcare Provider's Profile
| Full Name | Dr Jerry L Oestmann |
|---|
| Gender | Male |
|---|
| Speciality | Clinical Psychologist |
|---|
| Experience | 25 Years |
|---|
| Location | 1730 Dunlawton Ave, Port Orange, Florida |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
|---|
Medical Education and Training:
- Dr Jerry L Oestmann graduated from medical school in 2000
NPI Data:
- NPI Number: 1790858959
- Provider Enumeration Date: 11/16/2006
- Last Update Date: 02/13/2019
Medicare PECOS Information:
- PECOS PAC ID: 4587673967
- Enrollment ID: I20150107001633
Medical Identifiers
Medical identifiers for Dr Jerry L Oestmann such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1790858959 | NPI | - | NPPES |
| 47052851500 | Medicaid | NE | |
| 47052851509 | Medicaid | NE | |
| 68505B002 | Other | NE | TRICARE |
| 345680000 | Other | NE | MAGELLAN MIS ADOL GT |
| 47075636998 | Medicaid | NE | |
| 80023 | Other | NE | BLUE CROSS & BLUE SHIELD |
| 10025208600 | Medicaid | NE | |
| 81118 | Other | NE | BCBS INDIVIDUAL PROVIDER NUMBER |
| 10025208000 | Medicaid | NE | |
| 250307 | Other | NE | MIDLANDS INS |
| 098935 | Other | NE | MEDICARE FSI PTAN GROUP NUMBER |
| 1002550710 | Medicaid | NE | |
| 10025668200 | Medicaid | NE | |
| 345680000 | Other | NE | MAGELLAN MIS GT SITE |
| 349507000 | Other | NE | MAGELLAN MIS WOMEN'S GT |
| 47052851502 | Medicaid | NE | |
| 47052851503 | Medicaid | NE | |
| 85731 | Other | NE | BCBS |
| 47052851581 | Medicaid | NE | |
| 10025208700 | Medicaid | NE | |
| 47052851504 | Medicaid | NE | |
| 47075636930 | Medicaid | NE | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YP2500X | Counselor - Professional | 188 (Nebraska) | Secondary |
| 101YM0800X | Counselor - Mental Health | 396 (Nebraska) | Secondary |
| 103T00000X | Psychologist | 620 (Nebraska) | Secondary |
| 103T00000X | Psychologist | PY9026 (Florida) | 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. Dr Jerry L Oestmann 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 Jerry L Oestmann, PHD
1730 Dunlawton Ave, Suite 3,
Port Orange, FL 32127-8985
Ph: (386) 957-3905 | Dr Jerry L Oestmann, PHD
1730 Dunlawton Ave, Suite 3,
Port Orange, FL 32127-8985
Ph: (386) 957-3905 |
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