Mrs Jackie Suzanne Shpak, in Okemos, MI - Medicare Psychologist Provider

Mrs Jackie Suzanne Shpak, is a medicare enrolled "Psychologist - Clinical" provider in Okemos, Michigan. Her current practice location is 2149 Jolly Rd, Ste 500, Okemos, Michigan. You can reach out to her office (for appointments etc.) via phone at (517) 347-4645.

Mrs Jackie Suzanne Shpak is licensed to practice in Michigan (license number 6301013869) 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 1255760195.

Contact Information

	Mrs Jackie Suzanne Shpak,
	2149 Jolly Rd, Ste 500, Okemos, MI 48864
	(517) 347-4645
	(517) 347-4644

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Jackie Suzanne Shpak
Gender	Female
Speciality	Psychologist - Clinical
Location	2149 Jolly Rd, Okemos, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1255760195
Provider Enumeration Date: 11/01/2013
Last Update Date: 01/19/2024

Medicare PECOS Information:

PECOS PAC ID: 5597156703
Enrollment ID: I20211223000749

Medical Identifiers

Medical identifiers for Mrs Jackie Suzanne Shpak such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1255760195	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	6301013869 (Michigan)	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. Mrs Jackie Suzanne Shpak allows following entities to bill medicare on her behalf.

Entity Name	University Rehabilitation Alliance Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1528015336 PECOS PAC ID: 9133370430 Enrollment ID: O20130321000378

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. Mrs Jackie Suzanne Shpak 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
Mrs Jackie Suzanne Shpak, 2149 Jolly Rd, Ste 500, Okemos, MI 48864 Ph: (517) 347-4645	Mrs Jackie Suzanne Shpak, 2149 Jolly Rd, Ste 500, Okemos, MI 48864 Ph: (517) 347-4645

Reviews and Comments

Psychologist in Okemos, MI

Diana Lynn Spring, MALLP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2127 University Park Dr Ste 300, Okemos, MI 48864 Phone: 517-705-3667 Fax: 248-605-3525
Dr. Carolyn Sue Lucas, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 3887 Okemos Rd, Suite A2, Okemos, MI 48864 Phone: 517-333-6700 Fax: 517-347-3702
Dr. Carol Schwartz, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1987 Valley Brook Dr, Okemos, MI 48864 Phone: 517-290-4725
Lynne E Emerson, PH.D, LPC Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2422 Jolly Rd, 300, Okemos, MI 48864 Phone: 517-347-6944 Fax: 517-347-6912
Leslie Bartlett, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 4084 Okemos Rd, Okemos, MI 48864 Phone: 517-347-4848
Elisabeth Smith, M.A. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2109 Hamilton Rd, Ste 219, Okemos, MI 48864 Phone: 517-315-8435
Dr. Carol Jean Ducat, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 4747 Okemos Rd, Okemos, MI 48864 Phone: 517-349-6608 Fax: 517-349-3755

Mrs Jackie Suzanne Shpak, - Medicare Psychologist in Okemos, MI