Dr Scott Michael Jacoby, PHD in Minneapolis, MN - Medicare Psychologist Provider

Dr Scott Michael Jacoby, PHD is a medicare enrolled "Psychologist - Clinical" provider in Minneapolis, Minnesota. His current practice location is 2110 Lyndale Ave S, Minneapolis, Minnesota. You can reach out to his office (for appointments etc.) via phone at (952) 353-5931.

Dr Scott Michael Jacoby is licensed to practice in Minnesota (license number 5269) 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 1073826913.

Contact Information

	Dr Scott Michael Jacoby, PHD
	2110 Lyndale Ave S, Minneapolis, MN 55405-3196
	(952) 353-5931
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Scott Michael Jacoby
Gender	Male
Speciality	Psychologist - Clinical
Location	2110 Lyndale Ave S, 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: 1073826913
Provider Enumeration Date: 07/20/2010
Last Update Date: 07/20/2010

Medicare PECOS Information:

PECOS PAC ID: 0345405098
Enrollment ID: I20120629000478

Medical Identifiers

Medical identifiers for Dr Scott Michael Jacoby such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1073826913	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TB0200X	Psychologist - Cognitive & Behavioral	5269 (Minnesota)	Secondary
103TC0700X	Psychologist - Clinical	5269 (Minnesota)	Primary
103TP2701X	Psychologist - Group Psychotherapy	5269 (Minnesota)	Secondary

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 Scott Michael Jacoby allows following entities to bill medicare on his behalf.

Entity Name	Birch Counseling, Pllc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1598186330 PECOS PAC ID: 0840554218 Enrollment ID: O20230914000697

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 Scott Michael Jacoby 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 Scott Michael Jacoby, PHD 935 Winslow Ave, West St Paul, MN 55118-1340 Ph: (612) 669-3430	Dr Scott Michael Jacoby, PHD 2110 Lyndale Ave S, Minneapolis, MN 55405-3196 Ph: (952) 353-5931

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 Scott Michael Jacoby, PHD - Medicare Psychologist in Minneapolis, MN