Rick Jay Short Jr, PSYD, LPC is a medicare enrolled "Psychologist - Clinical" provider in Columbia, Missouri. His current practice location is
1000 W Nifong Blvd Bldg 6, Columbia, Missouri. You can reach out to his office (for appointments etc.) via phone at
(844) 853-8937.
Rick Jay Short Jr is licensed to practice in Missouri (license number 2023038407) 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 1134782055.
Healthcare Provider's Profile
| Full Name | Rick Jay Short Jr |
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| Gender | Male |
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| Speciality | Psychologist - Clinical |
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| Location | 1000 W Nifong Blvd Bldg 6, Columbia, Missouri |
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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: 1134782055
- Provider Enumeration Date: 04/16/2019
- Last Update Date: 12/14/2023
Medicare PECOS Information:
- PECOS PAC ID: 3173972049
- Enrollment ID: I20231218003006
Medical Identifiers
Medical identifiers for Rick Jay Short Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1134782055 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YM0800X | Counselor - Mental Health | 78181 (Texas) | Secondary |
| 101YP2500X | Counselor - Professional | 2023036667 (Missouri) | Secondary |
| 103TC0700X | Psychologist - Clinical | 2023038407 (Missouri) | 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. Rick Jay Short Jr allows following entities to bill medicare on his behalf.
| Entity Name | Compass Health Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1285619494
PECOS PAC ID: 1951206754
Enrollment ID: O20040408000955 |
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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. Rick Jay Short Jr 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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Rick Jay Short Jr, PSYD, LPC
1800 Community,
Clinton, MO 64735-8804
Ph: (660) 885-8131 | Rick Jay Short Jr, PSYD, LPC
1000 W Nifong Blvd Bldg 6,
Columbia, MO 65203-5615
Ph: (844) 853-8937 |
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