Dr Jessie M Maynard, LP, PSYD, CAADC is a medicare enrolled "Psychologist - Clinical" provider in Mason, Michigan. 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 | |
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| Experience | 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 attended and graduated from in
NPI Data:
- NPI Number: 1710126750
- Provider Enumeration Date: 02/15/2009
- Last Update Date: 08/16/2016
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
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 |
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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