Dr Jack B Schaffer, PHD is a
Clinical Neuropsychologist based in Saint Paul, Minnesota. Dr Jack B Schaffer is licensed to practice in Minnesota (license number LP0311) and his current practice location is
1790 Goodrich Ave, Saint Paul, Minnesota. He can be reached at his office (for appointments etc.) via phone at
(651) 699-4751.
NPI number for Dr Jack B Schaffer is 1568473569 and his current mailing address is 1790 Goodrich Ave, Saint Paul, Minnesota. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1568473569.
Healthcare Provider's Profile
| Full Name | Dr Jack B Schaffer |
|---|
| Gender | Male |
|---|
| Speciality | Clinical Neuropsychologist |
|---|
| Location | 1790 Goodrich Ave, Saint Paul, Minnesota |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1568473569
- Provider Enumeration Date: 08/11/2006
- Last Update Date: 11/15/2007
Medical Identifiers
Medical identifiers for Dr Jack B Schaffer such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1568473569 | NPI | - | NPPES |
| 4313086 | Medicaid | MN | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103TH0004X | Psychologist - Health | LP0311 (Minnesota) | Secondary |
| 103TC0700X | Psychologist - Clinical | LP0311 (Minnesota) | Secondary |
| 103G00000X | Clinical Neuropsychologist | LP0311 (Minnesota) | Primary |
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 Jack B Schaffer is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Jack B Schaffer, PHD
1790 Goodrich Ave,
Saint Paul, MN 55105-1907
Ph: (651) 699-4751 | Dr Jack B Schaffer, PHD
1790 Goodrich Ave,
Saint Paul, MN 55105-1907
Ph: (651) 699-4751 |
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