Dr Jonathan Lee Poquiz, PHD in Minneapolis, MN - Medicare Psychologist Provider

Dr Jonathan Lee Poquiz, PHD is a medicare enrolled "Psychologist" provider in Minneapolis, Minnesota. His current practice location is 1300 S 2nd St Ste 180, Minneapolis, Minnesota. You can reach out to his office (for appointments etc.) via phone at (612) 625-1500.

Dr Jonathan Lee Poquiz is licensed to practice in Minnesota (license number LP8686) 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 1346815792.

Contact Information

	Dr Jonathan Lee Poquiz, PHD
	1300 S 2nd St Ste 180, Minneapolis, MN 55454-5000
	(612) 625-1500
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Jonathan Lee Poquiz
Gender	Male
Speciality	Psychologist
Location	1300 S 2nd St Ste 180, 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: 1346815792
Provider Enumeration Date: 05/26/2021
Last Update Date: 11/01/2023

Medicare PECOS Information:

PECOS PAC ID: 1557739489
Enrollment ID: I20221123002437

Medical Identifiers

Medical identifiers for Dr Jonathan Lee Poquiz such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1346815792	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC2200X	Psychologist - Clinical Child & Adolescent	PY11126 (Florida)	Secondary
103T00000X	Psychologist	LP8686 (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 Jonathan Lee Poquiz allows following entities to bill medicare on his behalf.

Entity Name	Healtheast Medical Research Institute
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1639125503 PECOS PAC ID: 3971407636 Enrollment ID: O20031124000507

Entity Name	Fairview Express Care
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1053952606 PECOS PAC ID: 3375645179 Enrollment ID: O20081028000548

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 Lee Poquiz 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 Jonathan Lee Poquiz, PHD 1300 S 2nd St Ste 180, Minneapolis, MN 55454-5000 Ph: (612) 625-1500	Dr Jonathan Lee Poquiz, PHD 1300 S 2nd St Ste 180, Minneapolis, MN 55454-5000 Ph: (612) 625-1500

Reviews and Comments

Psychologist in Minneapolis, MN

Shannon Marie Kehle, PH.D., L.P. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1 Veterans Dr, Minneapolis, MN 55417 Phone: 612-467-1564
Amanda Mulfinger, Psychologist Medicare: Medicare Enrolled Practice Location: 701 Park Ave S, Hennepin County Medical Center/revenue Management, Minneapolis, MN 55415 Phone: 612-873-3044 Fax: 612-630-8242
Dr. Jennifer Rene Gozy, PSYD, LP Psychologist Medicare: Medicare Enrolled Practice Location: 7601 Wayzata Blvd, Minneapolis, MN 55426 Phone: 612-223-8898 Fax: 612-223-8899
Dr. Kristi E. White, PH.D., LP Psychologist Medicare: Accepting Medicare Assignments Practice Location: 2700 E Lake St, Minneapolis, MN 55406 Phone: 612-873-6963 Fax: 612-276-0188
Patricia Lynn Layton, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3033 Excelsior Blvd, Suite 565, Minneapolis, MN 55416 Phone: 612-926-8802 Fax: 612-926-8915
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 Jonathan Lee Poquiz, PHD - Medicare Psychologist in Minneapolis, MN