Dr Justin James Boseck, PHD is a medicare enrolled "Psychologist" provider in Fargo, North Dakota. His current practice location is
3401 45th St S Ste A, Fargo, North Dakota. You can reach out to his office (for appointments etc.) via phone at
(701) 356-4384.
Dr Justin James Boseck is licensed to practice in * (Not Available) (license number ) 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 1083937270.
Healthcare Provider's Profile
| Full Name | Dr Justin James Boseck |
|---|
| Gender | Male |
|---|
| Speciality | Psychologist |
|---|
| Location | 3401 45th St S Ste A, Fargo, North Dakota |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1083937270
- Provider Enumeration Date: 03/02/2010
- Last Update Date: 07/21/2022
Medicare PECOS Information:
- PECOS PAC ID: 2466681861
- Enrollment ID: I20140205001295
Medical Identifiers
Medical identifiers for Dr Justin James Boseck such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1083937270 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 103T00000X | Psychologist | (* (Not Available)) | 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 Justin James Boseck allows following entities to bill medicare on his behalf.
| Entity Name | Benson Psychological Services Pc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1477709574
PECOS PAC ID: 3274681663
Enrollment ID: O20090422000672 |
|---|
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 Justin James Boseck 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 Justin James Boseck, PHD
3060 Frontier Way South,
Fargo, ND 58103
Ph: (701) 232-2340 | Dr Justin James Boseck, PHD
3401 45th St S Ste A,
Fargo, ND 58104-8970
Ph: (701) 356-4384 |
Reviews and Comments