Jeff Carroll, PHD in Holland, MI - Medicare Clinical Psychologist Provider

Jeff Carroll, PHD is a medicare enrolled "Psychologist - Clinical" provider in Holland, Michigan. He graduated from medical school in 1985 and has 39 years of diverse experience with area of expertise as Clinical Psychologist. He is a member of the group practice Holland Community Hospital and his current practice location is 854 Washington Ave, Suite 330, Holland, Michigan. You can reach out to his office (for appointments etc.) via phone at (616) 355-3926.

Jeff Carroll is licensed to practice in Michigan (license number 6301006647) 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 1407995319.

Contact Information

	Jeff Carroll, PHD
	854 Washington Ave, Suite 330, Holland, MI 49423-7144
	(616) 355-3926
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Jeff Carroll
Gender	Male
Speciality	Clinical Psychologist
Experience	39 Years
Location	854 Washington Ave, Holland, Michigan
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:

Jeff Carroll graduated from medical school in 1985

NPI Data:

NPI Number: 1407995319
Provider Enumeration Date: 02/06/2007
Last Update Date: 08/10/2010

Medicare PECOS Information:

PECOS PAC ID: 5698961886
Enrollment ID: I20101130000962

Medical Identifiers

Medical identifiers for Jeff Carroll such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1407995319	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	6301006647 (Michigan)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Holland Community Hospital	Holland, MI	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Holland Community Hospital	0446157291	144

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. Jeff Carroll allows following entities to bill medicare on his behalf.

Entity Name	Holland Community Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1780888099 PECOS PAC ID: 0446157291 Enrollment ID: O20031218000510

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. Jeff Carroll 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
Jeff Carroll, PHD 602 Michigan Ave, Holland, MI 49423-4918 Ph: (616) 392-5141	Jeff Carroll, PHD 854 Washington Ave, Suite 330, Holland, MI 49423-7144 Ph: (616) 355-3926

Reviews and Comments

Psychologist in Holland, MI

Mr. Joseph Andrew Bechard, MSW EDS LLP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 36 West 8th Street, Suite 250 Center For Psycho Educational Services, Holland, MI 49423 Phone: 616-836-9636 Fax: 616-393-0903
Ms. Kathleen D. Smith, PSYCHOLOGIST LLP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 12265 James St, Holland, MI 49424 Phone: 616-494-5698 Fax: 616-393-5687
Brianna Taylor, LPC, TLLP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 854 Washington Ave Ste 600, Holland, MI 49423 Phone: 616-499-2218
Diego Castro Franco, TLLP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 238 Hoover Blvd, Holland, MI 49423 Phone: 616-591-9400
Matthew Warren Bush, MA, LLP Psychologist Medicare: Accepting Medicare Assignments Practice Location: 926 S Washington Ave, Holland, MI 49423 Phone: 616-820-3780
Jesi Nicole Sortwell, TLLP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 238 Hoover Blvd Ste 10, Holland, MI 49423 Phone: 616-591-9000
James Henry Hoeksema, PSY.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 720 E 8th St, Suite 2, Holland, MI 49423 Phone: 616-355-0473 Fax: 616-355-0480

Jeff Carroll, PHD - Medicare Psychologist in Holland, MI