Mr Jeremy James Rutherford, MS is a medicare enrolled "Psychologist" provider in Bellingham, Washington. He graduated from healthcare school in 2018 and has 6 years of diverse experience with area of expertise as Clinical Psychologist. He is a member of the group practice Unity Care Northwest and his current practice location is
1616 Cornwall Ave Ste 205, Bellingham, Washington. You can reach out to his office (for appointments etc.) via phone at
(360) 676-6177.
Mr Jeremy James Rutherford is licensed to practice in Washington (license number PY60974878) 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 1457647695.
Healthcare Provider's Profile
| Full Name | Mr Jeremy James Rutherford |
|---|
| Gender | Male |
|---|
| Speciality | Clinical Psychologist |
|---|
| Experience | 6 Years |
|---|
| Location | 1616 Cornwall Ave Ste 205, Bellingham, Washington |
|---|
| 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:
- Mr Jeremy James Rutherford graduated from medical school in 2018
NPI Data:
- NPI Number: 1457647695
- Provider Enumeration Date: 06/27/2011
- Last Update Date: 06/14/2021
Medicare PECOS Information:
- PECOS PAC ID: 7517376783
- Enrollment ID: I20210429002509
Medical Identifiers
Medical identifiers for Mr Jeremy James Rutherford such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1457647695 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | LH60535582 (Washington) | Secondary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 103T00000X | Psychologist | PY60974878 (Washington) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Unity Care Northwest | 7911897699 | 38 |
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. Mr Jeremy James Rutherford allows following entities to bill medicare on his behalf.
| Entity Name | Unity Care Northwest |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1760430532
PECOS PAC ID: 7911897699
Enrollment ID: O20040317000365 |
|---|
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. Mr Jeremy James Rutherford 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 |
|---|
Mr Jeremy James Rutherford, MS
1616 Cornwall Ave Ste 205,
Bellingham, WA 98225-4642
Ph: (360) 676-6177 | Mr Jeremy James Rutherford, MS
1616 Cornwall Ave Ste 205,
Bellingham, WA 98225-4642
Ph: (360) 676-6177 |
Reviews and Comments