Dr Jonathan Dale Rosenboom, PSYD - Medicare Psychologist in Warsaw, MO

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Dr Jonathan Dale Rosenboom, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Warsaw, Missouri. His current practice location is 17571 N Dam Access Rd, Warsaw, Missouri. You can reach out to his office (for appointments etc.) via phone at (888) 403-1071.

Dr Jonathan Dale Rosenboom is licensed to practice in Missouri (license number 01221) 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 1679716864.

Contact Information

Dr Jonathan Dale Rosenboom, PSYD
17571 N Dam Access Rd,
Warsaw, MO 65355
(888) 403-1071
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameDr Jonathan Dale Rosenboom
GenderMale
SpecialityPsychologist - Clinical
Location17571 N Dam Access Rd, Warsaw, Missouri
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1679716864
  • Provider Enumeration Date: 04/17/2009
  • Last Update Date: 03/18/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 0648462531
  • Enrollment ID: I20101011000700

Medical Identifiers

Medical identifiers for Dr Jonathan Dale Rosenboom such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1679716864NPI-NPPES
0076557OtherMOMISSOURI OFFICE OF ADMINISTRATION

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical 01221 (Missouri)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 Jonathan Dale Rosenboom allows following entities to bill medicare on his behalf.
Entity NameCompass Health Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1285619494
PECOS PAC ID: 1951206754
Enrollment ID: O20040408000955

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 Jonathan Dale Rosenboom 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 AddressPractice Location Address
Dr Jonathan Dale Rosenboom, PSYD
1800 Community,
Clinton, MO 64735-8804

Ph: (660) 885-8131		Dr Jonathan Dale Rosenboom, PSYD
17571 N Dam Access Rd,
Warsaw, MO 65355

Ph: (888) 403-1071

Reviews and Comments


Psychologist in Warsaw, MO

Dr. Kathryn E. C. Findley, PSYD
Psychologist
Medicare: Medicare Enrolled
Practice Location: 1330 Commercial St Ste 209, Warsaw, MO 65355
Phone: 602-230-4356    Fax: 660-223-0336
Mr. Frederick Wallace Nolen, PH.D.
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 31890 Cold Spring Ave, Warsaw, MO 65355
Phone: 913-907-5997    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.