Jarett Edward Roseberry, PHD, LP in Coon Rapids, MN - Medicare Clinical Psychologist Provider

Jarett Edward Roseberry, PHD, LP is a medicare enrolled "Psychologist" provider in Coon Rapids, Minnesota. He graduated from medical school in 2015 and has 9 years of diverse experience with area of expertise as Clinical Psychologist. He is a member of the group practice Allina Health System, Allina Health System and his current practice location is 11850 Blackfoot St Nw Ste 400, Coon Rapids, Minnesota. You can reach out to his office (for appointments etc.) via phone at (763) 236-8911.

Jarett Edward Roseberry is licensed to practice in Minnesota (license number LP6148) 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 1093230088.

Contact Information

	Jarett Edward Roseberry, PHD, LP
	11850 Blackfoot St Nw Ste 400, Coon Rapids, MN 55433-2776
	(763) 236-8911
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Jarett Edward Roseberry
Gender	Male
Speciality	Clinical Psychologist
Experience	9 Years
Location	11850 Blackfoot St Nw Ste 400, Coon Rapids, Minnesota
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:

Jarett Edward Roseberry graduated from medical school in 2015

NPI Data:

NPI Number: 1093230088
Provider Enumeration Date: 08/10/2017
Last Update Date: 03/11/2021

Medicare PECOS Information:

PECOS PAC ID: 3072879188
Enrollment ID: I20171106002546

Medical Identifiers

Medical identifiers for Jarett Edward Roseberry such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1093230088	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	3438-57 (Wisconsin)	Secondary
103T00000X	Psychologist	LP6148 (Minnesota)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Allina Health System	4587573613	3101
Allina Health System	4587573613	3101

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. Jarett Edward Roseberry allows following entities to bill medicare on his behalf.

Entity Name	Allina Health System
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1295272342 PECOS PAC ID: 4587573613 Enrollment ID: O20040319000460

Entity Name	Allina Health System
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1457657249 PECOS PAC ID: 4587573613 Enrollment ID: O20221213001713

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. Jarett Edward Roseberry 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
Jarett Edward Roseberry, PHD, LP 11850 Blackfoot St Nw Ste 405, Coon Rapids, MN 55433-2773 Ph: (763) 236-0888	Jarett Edward Roseberry, PHD, LP 11850 Blackfoot St Nw Ste 400, Coon Rapids, MN 55433-2776 Ph: (763) 236-8911

Reviews and Comments

Psychologist in Coon Rapids, MN

Abby O'keefe Stanislaw, PSYD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 9055 Springbrook Dr Nw, Coon Rapids, MN 55433 Phone: 763-780-9155 Fax: 763-236-1066
Mr. Rand Ollen Adams, L.P. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1930 Coon Rapids Blvd Nw, Family Life Mental Health, Coon Rapids, MN 55433 Phone: 763-427-7964 Fax: 763-427-7926
Dr. Ciara Lee Stigen, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 4050 Coon Rapids Blvd Nw, Coon Rapids, MN 55433 Phone: 614-584-5109
Steven Morris Smith, PSYD LP Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1930 Coon Rapids Blvd, Family Life Mental Health Center, Coon Rapids, MN 55433 Phone: 763-427-7964 Fax: 763-427-7976
Dr. Kenneth Ray Young Jr., PSYD, LP Psychologist Medicare: Accepting Medicare Assignments Practice Location: 9055 Springbrook Dr Nw, Coon Rapids, MN 55433 Phone: 763-780-9155 Fax: 763-236-1066
Catherine Jane Luitjens, LP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 11660 Round Lake Blvd Nw, Coon Rapids, MN 55433 Phone: 763-767-3350 Fax: 763-767-0912

Jarett Edward Roseberry, PHD, LP - Medicare Psychologist in Coon Rapids, MN