Dr Jerry Michael Bynum, PHD is a medicare enrolled "Psychologist - Clinical" provider in Rainbow City, Alabama. His current practice location is
206 Rescia Ave, Rainbow City, Alabama. You can reach out to his office (for appointments etc.) via phone at
(256) 413-7154.
Dr Jerry Michael Bynum is licensed to practice in Alabama (license number 649) 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 1780793638.
Healthcare Provider's Profile
Full Name | Dr Jerry Michael Bynum |
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Gender | Male |
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Speciality | Psychologist - Clinical |
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Location | 206 Rescia Ave, Rainbow City, Alabama |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1780793638
- Provider Enumeration Date: 08/30/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 8820236391
- Enrollment ID: I20130523000432
Medical Identifiers
Medical identifiers for Dr Jerry Michael Bynum such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1780793638 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103TC0700X | Psychologist - Clinical | 649 (Alabama) | 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 Jerry Michael Bynum 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 Jerry Michael Bynum, PHD 1600 Fairway Dr Sw, Jacksonville, AL 36265-3334 Ph: (256) 782-3034 | Dr Jerry Michael Bynum, PHD 206 Rescia Ave, Rainbow City, AL 35906-5933 Ph: (256) 413-7154 |
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