Dr Jay Randall Gottschalk, PHD, APRN, PMHNP-BC in East Lansing, MI

Dr Jay Randall Gottschalk, PHD, APRN, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in East Lansing, Michigan. His current practice location is 804 Service Rd Ste A110, East Lansing, Michigan. You can reach out to his office (for appointments etc.) via phone at (517) 353-8122.

Dr Jay Randall Gottschalk is licensed to practice in Michigan (license number 4704296264) 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 1437660248.

Contact Information

	Dr Jay Randall Gottschalk, PHD, APRN, PMHNP-BC
	804 Service Rd Ste A110, East Lansing, MI 48824-7015
	(517) 353-8122
	(517) 432-3713

Map and Direction

Provider's Profile

Full Name	Dr Jay Randall Gottschalk
Gender	Male
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	804 Service Rd Ste A110, East Lansing, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1437660248
Provider Enumeration Date: 10/19/2017
Last Update Date: 02/27/2024

Medicare PECOS Information:

PECOS PAC ID: 1951779271
Enrollment ID: I20221117002075

Medical Identifiers

Medical identifiers for Dr Jay Randall Gottschalk such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1437660248	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
364SP0808X	Clinical Nurse Specialist - Psychiatric/mental Health	4704296264 (Michigan)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	4704296264 (Michigan)	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 Jay Randall Gottschalk allows following entities to bill medicare on his behalf.

Entity Name	Cristo Rey Community Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1407800931 PECOS PAC ID: 2365345576 Enrollment ID: O20040830000021

Entity Name	Msu Health Care Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1700418670 PECOS PAC ID: 8628404936 Enrollment ID: O20200518002744

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 Jay Randall Gottschalk 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 Jay Randall Gottschalk, PHD, APRN, PMHNP-BC 804 Service Rd Ste A109b, East Lansing, MI 48824-7015 Ph: (517) 353-3070	Dr Jay Randall Gottschalk, PHD, APRN, PMHNP-BC 804 Service Rd Ste A110, East Lansing, MI 48824-7015 Ph: (517) 353-8122

Reviews and Comments

Nurse Practitioner Nurses in East Lansing, MI

Paul Folk, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1355 Bogue St, East Lansing, MI 48824 Phone: 800-605-6424
Mr. Benjamin Owen Marshall, MSN, FNP-BC, CPHQ Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3500 Coolidge Rd, East Lansing, MI 48823 Phone: 517-940-7615
Kelsey Garred, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6200 Pine Hollow Dr Ste 400, East Lansing, MI 48823 Phone: 517-339-1676 Fax: 517-339-2716
Ms. April Paulette Morris, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 804 Service Rd, A217, East Lansing, MI 48824 Phone: 517-353-8122 Fax: 517-432-3713
Sara Nielsen Dravland, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 804 Service Rd Ste A225, East Lansing, MI 48824 Phone: 517-353-2562 Fax: 517-353-2563
Kara E Schrader, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 804 Service Road, Room A142, East Lansing, MI 48824 Phone: 517-353-3050 Fax: 517-432-3742
Kelly Elizabeth Reid, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 702 W Lake Lansing Rd, East Lansing, MI 48823 Phone: 517-332-5342 Fax: 517-316-2893

Dr Jay Randall Gottschalk, PHD, APRN, PMHNP-BC - Medicare Nurse Practitioner in East Lansing, MI