Derosset Myers Jr, PHD in Columbia, SC - Medicare Psychologist Provider

Derosset Myers Jr, PHD is a medicare enrolled "Psychologist - Clinical" provider in Columbia, South Carolina. His current practice location is 15 Medical Park Rd, Suite 103, Columbia, South Carolina. You can reach out to his office (for appointments etc.) via phone at (803) 255-3400.

Derosset Myers Jr is licensed to practice in South Carolina (license number 431) 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 1659331460.

Contact Information

	Derosset Myers Jr, PHD
	15 Medical Park Rd, Suite 103, Columbia, SC 29203-8003
	(803) 255-3400
	(803) 255-3420

Map and Direction

Healthcare Provider's Profile

Full Name	Derosset Myers Jr
Gender	Male
Speciality	Psychologist - Clinical
Location	15 Medical Park Rd, Columbia, South Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1659331460
Provider Enumeration Date: 03/24/2006
Last Update Date: 04/30/2008

Medicare PECOS Information:

PECOS PAC ID: 5395932131
Enrollment ID: I20101207000096

Medical Identifiers

Medical identifiers for Derosset Myers Jr such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1659331460	NPI	-	NPPES
PS0046	Medicaid	SC
GP0720	Medicaid	SC

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	431 (South Carolina)	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. Derosset Myers Jr allows following entities to bill medicare on his behalf.

Entity Name	Charleston Counseling Center Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1316375678 PECOS PAC ID: 6204125107 Enrollment ID: O20160517000323

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. Derosset Myers 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
Derosset Myers Jr, PHD 15 Medical Park Rd, Suite 103, Columbia, SC 29203-8003 Ph: (803) 255-3400	Derosset Myers Jr, PHD 15 Medical Park Rd, Suite 103, Columbia, SC 29203-8003 Ph: (803) 255-3400

Reviews and Comments

Psychologist in Columbia, SC

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Dr. Anna Christine Schmieg, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 6439 Garners Ferry Rd, Columbia, SC 29209 Phone: 803-776-4000
Dr. Nevelyn Noblit Trumpeter, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1816 Bull St, Columbia, SC 29201 Phone: 803-422-0017

Derosset Myers Jr, PHD - Medicare Psychologist in Columbia, SC