Jacob Atkinson, PSYD, ATR is a medicare enrolled "Psychologist - Counseling" provider in Boise, Idaho. His current practice location is
671 E Riverpark Ln Ste 220, Boise, Idaho. You can reach out to his office (for appointments etc.) via phone at
(208) 344-2071.
Jacob Atkinson is licensed to practice in Idaho (license number PSY-203023) 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 1477858785.
Healthcare Provider's Profile
| Full Name | Jacob Atkinson |
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| Gender | Male |
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| Speciality | Psychologist - Counseling |
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| Location | 671 E Riverpark Ln Ste 220, Boise, Idaho |
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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: 1477858785
- Provider Enumeration Date: 01/18/2011
- Last Update Date: 07/06/2022
Medicare PECOS Information:
- PECOS PAC ID: 7719249010
- Enrollment ID: I20180327000732
Medical Identifiers
Medical identifiers for Jacob Atkinson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1477858785 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YP2500X | Counselor - Professional | 5800 (Idaho) | Secondary |
| 103TC1900X | Psychologist - Counseling | PSY-203023 (Idaho) | 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. Jacob Atkinson allows following entities to bill medicare on his behalf.
| Entity Name | Atkinson Psychology Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1982106654
PECOS PAC ID: 6901168202
Enrollment ID: O20180327000680 |
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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. Jacob Atkinson 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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Jacob Atkinson, PSYD, ATR
6568 S Federal Way, Box 235,
Boise, ID 83716-9277
Ph: () - | Jacob Atkinson, PSYD, ATR
671 E Riverpark Ln Ste 220,
Boise, ID 83706-6559
Ph: (208) 344-2071 |
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