Dr Jae Lee Ross, PSYD in New York, NY - Medicare Clinical Psychologist Provider

Dr Jae Lee Ross, PSYD is a medicare enrolled "Psychologist - Clinical" provider in New York, New York. He graduated from medical school in 2015 and has 9 years of diverse experience with area of expertise as Clinical Psychologist. He is a member of the group practice Memorial Sloan Kettering Cancer Center At Basking Ridge New Jersey, Msk Monmouth, Memorial Psychiatry Group and his current practice location is 1275 York Ave, New York, New York. You can reach out to his office (for appointments etc.) via phone at (212) 639-2000.

Dr Jae Lee Ross is licensed to practice in New York (license number 025249) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1063708188.

Contact Information

	Dr Jae Lee Ross, PSYD
	1275 York Ave, New York, NY 10065-6007
	(212) 639-2000
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Jae Lee Ross
Gender	Male
Speciality	Clinical Psychologist
Experience	9 Years
Location	1275 York Ave, New York, New York
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Jae Lee Ross graduated from medical school in 2015

NPI Data:

NPI Number: 1063708188
Provider Enumeration Date: 06/27/2011
Last Update Date: 08/03/2023

Medicare PECOS Information:

PECOS PAC ID: 9133415722
Enrollment ID: I20231016002744

Medical Identifiers

Medical identifiers for Dr Jae Lee Ross such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1063708188	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	35SI00701400 (New Jersey)	Secondary
103TC0700X	Psychologist - Clinical	37386 (Texas)	Secondary
103TC0700X	Psychologist - Clinical	025249 (New York)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Memorial Sloan Kettering Cancer Center At Basking Ridge New Jersey	0143229534	98
Msk Monmouth	1153619291	147
Memorial Psychiatry Group	2062301476	43

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 Jae Lee Ross allows following entities to bill medicare on his behalf.

Entity Name	Memorial Sloan Kettering Cancer Center At Basking Ridge New Jersey
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1184637886 PECOS PAC ID: 0143229534 Enrollment ID: O20061213000044

Entity Name	Msk Monmouth
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1922459163 PECOS PAC ID: 1153619291 Enrollment ID: O20161005002347

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 Jae Lee Ross 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 Jae Lee Ross, PSYD 633 3rd Ave, New York, NY 10017-6706 Ph: (646) 227-3764	Dr Jae Lee Ross, PSYD 1275 York Ave, New York, NY 10065-6007 Ph: (212) 639-2000

Reviews and Comments

Psychologist in New York, NY

Dr. Maja Katarina Bergman, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 600 W 146th St Apt 52, New York, NY 10031 Phone: 917-723-0619 Fax: 510-601-4002
Dr. Luis Laviena, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 201 E 28th St Apt 4k, New York, NY 10016 Phone: 212-252-0396 Fax: 212-679-3015
Dr. Sandra P. Chamson, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 200 W 86th St, 18-e, New York, NY 10024 Phone: 212-873-4242 Fax: 212-873-3676
Dr. Madeline Perie Gittleman, PSY.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 350 E 17th St, Baird Hall, Room 12, New York, NY 10003 Phone: 212-844-1302
Dr. Michael Beldoch, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 310 W 72nd St, New York, NY 10023 Phone: 212-787-9413
Dr. Aileen Clark, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 250 West St, Suite 11f, New York, NY 10013 Phone: 917-815-9616
Cassandra Cook, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 241 Central Park W, Suite 1a, New York, NY 10024 Phone: 212-595-7600

Dr Jae Lee Ross, PSYD - Medicare Psychologist in New York, NY