Dr Jacquelyn K Wiersma, PH D in Minnetonka, MN - Medicare Clinical Psychologist Provider

Dr Jacquelyn K Wiersma, PH D is a medicare enrolled "Psychologist - Clinical" provider in Minnetonka, Minnesota. She graduated from medical school in 1979 and has 45 years of diverse experience with area of expertise as Clinical Psychologist. Her current practice location is 3931 Auburn Dr, Minnetonka, Minnesota. You can reach out to her office (for appointments etc.) via phone at (952) 938-9499.

Dr Jacquelyn K Wiersma is licensed to practice in Minnesota (license number LP1583) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1386757300.

Contact Information

	Dr Jacquelyn K Wiersma, PH D
	3931 Auburn Dr, Minnetonka, MN 55305-5196
	(952) 938-9499
	(952) 938-9499

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Jacquelyn K Wiersma
Gender	Female
Speciality	Clinical Psychologist
Experience	45 Years
Location	3931 Auburn Dr, Minnetonka, Minnesota
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Jacquelyn K Wiersma graduated from medical school in 1979

NPI Data:

NPI Number: 1386757300
Provider Enumeration Date: 08/16/2006
Last Update Date: 02/03/2017

Medicare PECOS Information:

PECOS PAC ID: 3173562519
Enrollment ID: I20050426000891

Medical Identifiers

Medical identifiers for Dr Jacquelyn K Wiersma such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1386757300	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	LP1583 (Minnesota)	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 Jacquelyn K Wiersma allows following entities to bill medicare on her behalf.

Entity Name	Jacquelyn K Wiersma Phd Lp Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770696726 PECOS PAC ID: 3274534391 Enrollment ID: O20070116000335

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 Jacquelyn K Wiersma 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 Jacquelyn K Wiersma, PH D 3931 Auburn Dr, Minnetonka, MN 55305-5196 Ph: (952) 938-9499	Dr Jacquelyn K Wiersma, PH D 3931 Auburn Dr, Minnetonka, MN 55305-5196 Ph: (952) 938-9499

Reviews and Comments

Psychologist in Minnetonka, MN

Ms. Laura Ann Jaap, M.A., L.P. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 12301 Whitewater Dr Ste 101, Minnetonka, MN 55343 Phone: 952-999-6097 Fax: 952-426-0508
Alecia Ann Viera, PSYD, LP Psychologist Medicare: Accepting Medicare Assignments Practice Location: 10505 Wayzata Blvd Ste 200, Minnetonka, MN 55305 Phone: 763-546-5797
Dr. Susan Kay Powers Olson, PSY.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 17508 Minnetonka Blvd, Minnetonka, MN 55345 Phone: 763-234-4876
Dr. Andrew Fink, PSY.D Psychologist Medicare: Not Enrolled in Medicare Practice Location: 5710 Baker Rd, Minnetonka, MN 55345 Phone: 952-767-4200
Kathryn J Anderson, LICENSED PSYCHOLOGIS Psychologist Medicare: Not Enrolled in Medicare Practice Location: 15320 Minnetonka Blvd, # 200 Relate Inc, Minnetonka, MN 55345 Phone: 952-932-7277 Fax: 952-932-9827
Dr. Jill Marie Strunk, ED.D., L.P. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 4001 Huntingdon Dr, Minnetonka, MN 55305 Phone: 952-936-7547
Stephanie P Pedersen, L.P. Psychologist Medicare: May Accept Medicare Assignments Practice Location: 5125 County Road 101, Suite 300, Relate, Inc., Minnetonka, MN 55345 Phone: 952-932-7277 Fax: 952-932-9827

Dr Jacquelyn K Wiersma, PH D - Medicare Psychologist in Minnetonka, MN