Jaci Rolffs, PHD in Coralville, IA - Medicare Psychologist Provider

Jaci Rolffs, PHD is a medicare enrolled "Psychologist - Clinical" provider in Coralville, Iowa. Her current practice location is 520 10th Ave, Coralville, Iowa. You can reach out to her office (for appointments etc.) via phone at (319) 688-3341.

Jaci Rolffs is licensed to practice in Iowa (license number 098665) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1497274260.

Contact Information

	Jaci Rolffs, PHD
	520 10th Ave, Coralville, IA 52241-1910
	(319) 688-3341
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Jaci Rolffs
Gender	Female
Speciality	Psychologist - Clinical
Location	520 10th Ave, Coralville, Iowa
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1497274260
Provider Enumeration Date: 09/13/2017
Last Update Date: 05/16/2022

Medicare PECOS Information:

PECOS PAC ID: 7517300395
Enrollment ID: I20240208002298

Medical Identifiers

Medical identifiers for Jaci Rolffs such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1497274260	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	098665 (Iowa)	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. Jaci Rolffs allows following entities to bill medicare on her behalf.

Entity Name	Evergreen Therapy Center Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1043828825 PECOS PAC ID: 8527465863 Enrollment ID: O20210929000624

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. Jaci Rolffs 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
Jaci Rolffs, PHD 215 Cedar Cir, Spencerport, NY 14559-1641 Ph: () -	Jaci Rolffs, PHD 520 10th Ave, Coralville, IA 52241-1910 Ph: (319) 688-3341

Reviews and Comments

Psychologist in Coralville, IA

Dr. Anne M Green, PH D Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2000 James St., Ste 211, Coralville, IA 52241 Phone: 319-358-9397
Mollie Burke, PHD HSP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1303 5th St, Suite 202, Coralville, IA 52241 Phone: 319-358-6520
Matthew Semla, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 520 10th Ave, Coralville, IA 52241 Phone: 319-358-2406
Dr. Sheila Pogge, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 520 10th Ave Lowr Level, Coralville, IA 52241 Phone: 319-688-3333
Tara Ohrt, PHD, HSP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1303 5th St Ste 202, Coralville, IA 52241 Phone: 319-358-6520
Graham Nelson, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 520 10th Ave, Coralville, IA 52241 Phone: 319-358-2406

Jaci Rolffs, PHD - Medicare Psychologist in Coralville, IA