Javon A Cleveland, PSYD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" provider in Minneapolis, Minnesota. He graduated from medical school in 2001 and has 23 years of diverse experience with area of expertise as Clinical Psychologist. He is a member of the group practice Hennepin County and his current practice location is
1313 Penn Ave N, Minneapolis, Minnesota. You can reach out to his office (for appointments etc.) via phone at
(612) 302-4747.
Javon A Cleveland is licensed to practice in Minnesota (license number LP4572) 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 1912984410.
Healthcare Provider's Profile
| Full Name | Javon A Cleveland |
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| Gender | Male |
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| Speciality | Clinical Psychologist |
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| Experience | 23 Years |
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| Location | 1313 Penn Ave N, Minneapolis, Minnesota |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Javon A Cleveland graduated from medical school in 2001
NPI Data:
- NPI Number: 1912984410
- Provider Enumeration Date: 12/27/2005
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 3779507835
- Enrollment ID: I20060117000679
Medical Identifiers
Medical identifiers for Javon A Cleveland such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1912984410 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 103T00000X | Psychologist | LP4572 (Minnesota) | Primary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | LP4572 (Minnesota) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Hennepin County | 7911892849 | 89 |
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. Javon A Cleveland allows following entities to bill medicare on his behalf.
| Entity Name | Hennepin County |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1780790345
PECOS PAC ID: 7911892849
Enrollment ID: O20040218001012 |
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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. Javon A Cleveland 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 |
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Javon A Cleveland, PSYD
1313 Penn Ave N,
Minneapolis, MN 55411
Ph: (612) 302-4747 | Javon A Cleveland, PSYD
1313 Penn Ave N,
Minneapolis, MN 55411
Ph: (612) 302-4747 |
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