Dr Jessie M Maynard, LP, PSYD, CAADC is a medicare enrolled "Psychologist - Clinical" provider in Mason, Michigan. He graduated from medical school in 2012 and has 12 years of diverse experience with area of expertise as Clinical Psychologist. He is a member of the group practice Downriver Mental Health Clinic Pc and his current practice location is
585 Jewett Rd, Mason, Michigan. You can reach out to his office (for appointments etc.) via phone at
(517) 833-8100.
Dr Jessie M Maynard is licensed to practice in Michigan (license number 6301015286) 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 1710126750.
Healthcare Provider's Profile
| Full Name | Dr Jessie M Maynard |
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| Gender | Male |
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| Speciality | Clinical Psychologist |
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| Experience | 12 Years |
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| Location | 585 Jewett Rd, Mason, Michigan |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Jessie M Maynard graduated from medical school in 2012
NPI Data:
- NPI Number: 1710126750
- Provider Enumeration Date: 02/15/2009
- Last Update Date: 08/16/2016
Medicare PECOS Information:
- PECOS PAC ID: 3072899244
- Enrollment ID: I20170425000701
Medical Identifiers
Medical identifiers for Dr Jessie M Maynard such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1710126750 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 103TC0700X | Psychologist - Clinical | 6301015286 (Michigan) | Primary |
| 103TP2701X | Psychologist - Group Psychotherapy | 6301015286 (Michigan) | Secondary |
| 101YM0800X | Counselor - Mental Health | 6301015286 (Michigan) | Secondary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | C-00917 (Michigan) | Secondary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Downriver Mental Health Clinic Pc | 7911995139 | 186 |
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 Jessie M Maynard allows following entities to bill medicare on his behalf.
| Entity Name | Downriver Mental Health Clinic Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1295866135
PECOS PAC ID: 7911995139
Enrollment ID: O20040505000533 |
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| Entity Name | Lansing Psychological Associates Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1184773368
PECOS PAC ID: 8426048323
Enrollment ID: O20040513000765 |
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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 Jessie M Maynard 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 |
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Dr Jessie M Maynard, LP, PSYD, CAADC
1199 Teakwood Cir,
Haslett, MI 48840-9734
Ph: (517) 881-3055 | Dr Jessie M Maynard, LP, PSYD, CAADC
585 Jewett Rd,
Mason, MI 48854-8729
Ph: (517) 833-8100 |
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