Jacob A Zimmerman, PHD in Boise, ID - Medicare Psychologist Provider

Jacob A Zimmerman, PHD is a medicare enrolled "Psychologist - Clinical" provider in Boise, Idaho. His current practice location is 1755 N Westgate Dr Ste 260, Boise, Idaho. You can reach out to his office (for appointments etc.) via phone at (208) 373-0790.

Jacob A Zimmerman is licensed to practice in Idaho (license number PSY203864) 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 1811693351.

Contact Information

	Jacob A Zimmerman, PHD
	1755 N Westgate Dr Ste 260, Boise, ID 83704-7176
	(208) 373-0790
	(208) 373-0816

Map and Direction

Healthcare Provider's Profile

Full Name	Jacob A Zimmerman
Gender	Male
Speciality	Psychologist - Clinical
Location	1755 N Westgate Dr Ste 260, Boise, Idaho
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1811693351
Provider Enumeration Date: 02/06/2023
Last Update Date: 08/14/2024

Medicare PECOS Information:

PECOS PAC ID: 8022482108
Enrollment ID: I20230314000858

Medical Identifiers

Medical identifiers for Jacob A Zimmerman such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1811693351	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	LP6892 (Minnesota)	Secondary
103TC0700X	Psychologist - Clinical	PSY203864 (Idaho)	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. Jacob A Zimmerman allows following entities to bill medicare on his behalf.

Entity Name	Zumbro Valley Health Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1801961263 PECOS PAC ID: 7810961703 Enrollment ID: O20040825001137

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. Jacob A Zimmerman 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
Jacob A Zimmerman, PHD 1755 N Westgate Dr Ste 260, Boise, ID 83704-7176 Ph: (208) 373-0790	Jacob A Zimmerman, PHD 1755 N Westgate Dr Ste 260, Boise, ID 83704-7176 Ph: (208) 373-0790

Reviews and Comments

Psychologist in Boise, ID

Dr. Barbara Alison Minton, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1403 W Franklin St, Boise, ID 83702 Phone: 208-867-4048
Dr. Winslow Gregory Gerrish, PHD Psychologist Medicare: Medicare Enrolled Practice Location: 777 N Raymond St, Boise, ID 83704 Phone: 208-514-2500 Fax: 208-375-2217
Dr. Ann Decker Trotter, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 500 W Fort St, Boise, ID 83702 Phone: 208-422-1000
Andrea Zambukos, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3324 Elder St., Boise, ID 83705 Phone: 208-333-0008
Mark E. Snow, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 311 N. Allumbaugh St, Boise, ID 83704 Phone: 208-375-6402 Fax: 208-323-1850
Dr. Heidi Rachelle Tennyson, PSY.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1755 N Westgate Dr Ste 260, Boise, ID 83704 Phone: 208-373-0790 Fax: 208-373-0816
Dr. Christine Dee Isaacs, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1310 W Hays St, Boise, ID 83702 Phone: 208-343-4208

Jacob A Zimmerman, PHD - Medicare Psychologist in Boise, ID