Dr Jessica K Dodge, PHD, LP, BCBA in Minneapolis, MN

Dr Jessica K Dodge, PHD, LP, BCBA is a medicare enrolled "Psychologist" provider in Minneapolis, Minnesota. Her current practice location is 3333 University Ave Se, Minneapolis, Minnesota. You can reach out to her office (for appointments etc.) via phone at (952) 767-6964.

Dr Jessica K Dodge is licensed to practice in Minnesota (license number LP6028) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1205383676.

Contact Information

	Dr Jessica K Dodge, PHD, LP, BCBA
	3333 University Ave Se, Minneapolis, MN 55414-3325
	(952) 767-6964
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Jessica K Dodge
Gender	Female
Speciality	Psychologist
Location	3333 University Ave Se, Minneapolis, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1205383676
Provider Enumeration Date: 09/02/2016
Last Update Date: 09/02/2016

Medicare PECOS Information:

PECOS PAC ID: 8527461318
Enrollment ID: I20210730003155

Medical Identifiers

Medical identifiers for Dr Jessica K Dodge such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1205383676	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	LP6028 (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 Jessica K Dodge allows following entities to bill medicare on her behalf.

Entity Name	Fraser Child And Family Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1609922194 PECOS PAC ID: 3971918772 Enrollment ID: O20210208002399

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 Jessica K Dodge 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 Jessica K Dodge, PHD, LP, BCBA 3333 University Ave Se, Minneapolis, MN 55414-3325 Ph: () -	Dr Jessica K Dodge, PHD, LP, BCBA 3333 University Ave Se, Minneapolis, MN 55414-3325 Ph: (952) 767-6964

Reviews and Comments

Psychologist in Minneapolis, MN

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Mary Melton, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 909 Fulton St Se, Building 2, Minneapolis, MN 55455 Phone: 612-672-7422
Dr. Virginia Anne Mcdermott, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 825 Nicollet Mall, Suite 1630, Minneapolis, MN 55402 Phone: 612-673-9988

Dr Jessica K Dodge, PHD, LP, BCBA - Medicare Psychologist in Minneapolis, MN