Dr Jordan Paul Backstrom, PSYD in Waltham, MA - Medicare Clinical Psychologist Provider

Dr Jordan Paul Backstrom, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Waltham, Massachusetts. He graduated from medical school in 2017 and has 7 years of diverse experience with area of expertise as Clinical Psychologist. He is a member of the group practice Cypress Counseling Center Pc and his current practice location is 85 1st Ave, Waltham, Massachusetts. You can reach out to his office (for appointments etc.) via phone at (781) 895-7963.

Dr Jordan Paul Backstrom is licensed to practice in Massachusetts (license number 10520) 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 1124552708.

Contact Information

	Dr Jordan Paul Backstrom, PSYD
	85 1st Ave, Waltham, MA 02451-1105
	(781) 895-7963
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Jordan Paul Backstrom
Gender	Male
Speciality	Clinical Psychologist
Experience	7 Years
Location	85 1st Ave, Waltham, Massachusetts
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Jordan Paul Backstrom graduated from medical school in 2017

NPI Data:

NPI Number: 1124552708
Provider Enumeration Date: 04/20/2017
Last Update Date: 04/20/2017

Medicare PECOS Information:

PECOS PAC ID: 5991066474
Enrollment ID: I20180223002352

Medical Identifiers

Medical identifiers for Dr Jordan Paul Backstrom such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1124552708	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	10520 (Massachusetts)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Cypress Counseling Center Pc	3971736315	2

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 Jordan Paul Backstrom allows following entities to bill medicare on his behalf.

Entity Name	Cypress Counseling Center Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1679992432 PECOS PAC ID: 3971736315 Enrollment ID: O20140509000132

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 Jordan Paul Backstrom 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 Jordan Paul Backstrom, PSYD 85 1st Ave, Waltham, MA 02451-1105 Ph: (781) 895-7963	Dr Jordan Paul Backstrom, PSYD 85 1st Ave, Waltham, MA 02451-1105 Ph: (781) 895-7963

Reviews and Comments

Psychologist in Waltham, MA

Miriam E Thomas, PSY.D Psychologist Medicare: Not Enrolled in Medicare Practice Location: 101 Hobbs Rd, Waltham, MA 02452 Phone: 781-686-4322
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Leslie Zebrowitz, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 415 South St, Brandeis University Department Of Psychology Ms 062, Waltham, MA 02453 Phone: 781-736-3263 Fax: 781-736-3291
Terrell A Clark, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 9 Hope Ave, Waltham, MA 02453 Phone: 781-216-2200 Fax: 781-647-8914
Dr. Joseph Thomas Coyle, PH.D. Psychologist Medicare: Medicare Enrolled Practice Location: 30 Pond St, Waltham, MA 02451 Phone: 781-891-1818
Dr. Michael J Lafarr Jr., PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 415 South St, Counseling Center, Brandeis University, Waltham, MA 02453 Phone: 781-736-3543
Kelsey Mercado, PHD Psychologist Medicare: Medicare Enrolled Practice Location: 9 Hope Ave, Waltham, MA 02453 Phone: 617-355-6680

Dr Jordan Paul Backstrom, PSYD - Medicare Psychologist in Waltham, MA