Jay Robert Phillippi, PHD in Fargo, ND - Medicare Psychologist Provider

Jay Robert Phillippi, PHD is a medicare enrolled "Psychologist" provider in Fargo, North Dakota. His current practice location is 112 University Dr N Ste 300, Fargo, North Dakota. You can reach out to his office (for appointments etc.) via phone at (701) 866-3641.

Jay Robert Phillippi is licensed to practice in * (Not Available) (license number ) 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 1053692020.

Contact Information

	Jay Robert Phillippi, PHD
	112 University Dr N Ste 300, Fargo, ND 58102
	(701) 866-3641
	(701) 660-1071

Map and Direction

Healthcare Provider's Profile

Full Name	Jay Robert Phillippi
Gender	Male
Speciality	Psychologist
Location	112 University Dr N Ste 300, Fargo, North Dakota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1053692020
Provider Enumeration Date: 09/06/2011
Last Update Date: 08/16/2018

Medicare PECOS Information:

PECOS PAC ID: 2668615378
Enrollment ID: I20130828000577

Medical Identifiers

Medical identifiers for Jay Robert Phillippi such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1053692020	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	(* (Not Available))	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. Jay Robert Phillippi allows following entities to bill medicare on his behalf.

Entity Name	Positive Psychological Initiatives Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1427446798 PECOS PAC ID: 5193078434 Enrollment ID: O20181102000651

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. Jay Robert Phillippi 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
Jay Robert Phillippi, PHD 464 Clearview Ct, Moorhead, MN 56560-6800 Ph: (701) 866-3641	Jay Robert Phillippi, PHD 112 University Dr N Ste 300, Fargo, ND 58102 Ph: (701) 866-3641

Reviews and Comments

Psychologist in Fargo, ND

Dr. Jaryn Lynn Allen, PH.D., LP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 4733 Amber Valley Pkwy S Ste W, Fargo, ND 58104 Phone: 701-368-7400
Dr. Nicola Ashton Herting, PHD, LP Psychologist Medicare: Medicare Enrolled Practice Location: 100 4th St S Ste 302, Fargo, ND 58103 Phone: 701-234-4587
Ryan D Jagim, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 100 4th St S, Fargo, ND 58103 Phone: 701-234-4141 Fax: 701-234-4024
Dr. Sarah R. Edwards, LP, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 3309 Fiechtner Dr S Ste H, Fargo, ND 58103 Phone: 218-303-6164
Dr. Ani Celine Mangold, PHD, LP Psychologist Medicare: Medicare Enrolled Practice Location: 100 4th St S, Fargo, ND 58103 Phone: 701-234-2000
Ellee Bergren, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 700 7th St S, Fargo, ND 58103 Phone: 701-446-1014

Jay Robert Phillippi, PHD - Medicare Psychologist in Fargo, ND