Dr Erica Jacobsen Phillips, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Las Vegas, Nevada. Her current practice location is
10731 Morning Frost St, Las Vegas, Nevada. You can reach out to her office (for appointments etc.) via phone at
(360) 791-8823.
Dr Erica Jacobsen Phillips is licensed to practice in Nevada (license number PY0943) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1154638971.
Healthcare Provider's Profile
| Full Name | Dr Erica Jacobsen Phillips |
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| Gender | Female |
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| Speciality | Psychologist - Clinical |
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| Location | 10731 Morning Frost St, Las Vegas, Nevada |
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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: 1154638971
- Provider Enumeration Date: 09/01/2010
- Last Update Date: 02/08/2021
Medicare PECOS Information:
- PECOS PAC ID: 7315374915
- Enrollment ID: I20200220001019
Medical Identifiers
Medical identifiers for Dr Erica Jacobsen Phillips such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1154638971 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 103TC0700X | Psychologist - Clinical | PY0943 (Nevada) | 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 Erica Jacobsen Phillips allows following entities to bill medicare on her behalf.
| Entity Name | The Psychology Institute Of Las Vegas Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1285269100
PECOS PAC ID: 9537599071
Enrollment ID: O20200423001374 |
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| Entity Name | Jp Psychological Services Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1841883311
PECOS PAC ID: 6608281696
Enrollment ID: O20210225001667 |
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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 Erica Jacobsen Phillips 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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Dr Erica Jacobsen Phillips, PSYD
10731 Morning Frost St,
Las Vegas, NV 89179-1301
Ph: (360) 791-8823 | Dr Erica Jacobsen Phillips, PSYD
10731 Morning Frost St,
Las Vegas, NV 89179-1301
Ph: (360) 791-8823 |
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