Dr Jonathan Ray Squyres, PHD is a medicare enrolled "Psychologist" provider in Lufkin, Texas. His current practice location is
130 Michaels Loop, Lufkin, Texas. You can reach out to his office (for appointments etc.) via phone at
(936) 824-5011.
Dr Jonathan Ray Squyres is licensed to practice in Texas (license number 38103) 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 1285629055.
Healthcare Provider's Profile
| Full Name | Dr Jonathan Ray Squyres |
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| Gender | Male |
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| Speciality | Psychologist |
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| Location | 130 Michaels Loop, Lufkin, Texas |
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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: 1285629055
- Provider Enumeration Date: 09/16/2005
- Last Update Date: 10/11/2019
Medicare PECOS Information:
- PECOS PAC ID: 4486995842
- Enrollment ID: I20190411002126
Medical Identifiers
Medical identifiers for Dr Jonathan Ray Squyres such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1285629055 | NPI | - | NPPES |
| 174531702 | Medicaid | TX | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YP2500X | Counselor - Professional | 18907 (Texas) | Secondary |
| 103T00000X | Psychologist | 38103 (Texas) | 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 Jonathan Ray Squyres allows following entities to bill medicare on his behalf.
| Entity Name | Brittain & Associates Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1285650457
PECOS PAC ID: 2668455221
Enrollment ID: O20040612000558 |
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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 Jonathan Ray Squyres 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 Jonathan Ray Squyres, PHD
130 Michaels Loop,
Lufkin, TX 75901-8317
Ph: (936) 824-5011 | Dr Jonathan Ray Squyres, PHD
130 Michaels Loop,
Lufkin, TX 75901-8317
Ph: (936) 824-5011 |
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