Jeremy William Rondorf, PSYD in Center City, MN - Medicare Clinical Psychologist Provider

Jeremy William Rondorf, PSYD is a medicare enrolled "Psychologist - Addiction (substance Use Disorder)" provider in Center City, Minnesota. He graduated from medical school in 2005 and has 19 years of diverse experience with area of expertise as Clinical Psychologist. He is a member of the group practice Allina Health System and his current practice location is 15245 Pleasant Valley Rd, Center City, Minnesota. You can reach out to his office (for appointments etc.) via phone at (651) 213-4184.

Jeremy William Rondorf is licensed to practice in * (Not Available) (license number ) 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 1639227135.

Contact Information

	Jeremy William Rondorf, PSYD
	15245 Pleasant Valley Rd, Center City, MN 55012-9640
	(651) 213-4184
	(651) 213-4411

Map and Direction

Healthcare Provider's Profile

Full Name	Jeremy William Rondorf
Gender	Male
Speciality	Clinical Psychologist
Experience	19 Years
Location	15245 Pleasant Valley Rd, Center City, 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:

Jeremy William Rondorf graduated from medical school in 2005

NPI Data:

NPI Number: 1639227135
Provider Enumeration Date: 01/08/2007
Last Update Date: 03/11/2021

Medicare PECOS Information:

PECOS PAC ID: 3971811217
Enrollment ID: I20151006001400

Medical Identifiers

Medical identifiers for Jeremy William Rondorf such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1639227135	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TA0400X	Psychologist - Addiction (substance Use Disorder)	(* (Not Available))	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
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. Jeremy William Rondorf 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. Jeremy William Rondorf 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
Jeremy William Rondorf, PSYD 15245 Pleasant Valley Rd, Center City, MN 55012-9640 Ph: (651) 213-4184	Jeremy William Rondorf, PSYD 15245 Pleasant Valley Rd, Center City, MN 55012-9640 Ph: (651) 213-4184

Reviews and Comments

Psychologist in Center City, MN

Janaka Eugene Hanvey, M.S. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 15245 Pleasant Valley Rd, Center City, MN 55012 Phone: 651-213-4184 Fax: 651-213-4411
Dorine Rosella Reiter, PSY.D., LP Psychologist Medicare: Medicare Enrolled Practice Location: 15245 Pleasant Valley Rd, Center City, MN 55012 Phone: 651-213-4184 Fax: 651-213-4411
Irene D. Bugge, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 15245 Pleasant Valley Rd, Center City, MN 55012 Phone: 651-213-4184 Fax: 651-213-4411
Kabita Roy, PSYD RN Psychologist Medicare: May Accept Medicare Assignments Practice Location: 15251 Pleasant Valley Rd, Center City, MN 55012 Phone: 651-213-4184
Lindsay Marie Paetznick, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 15251 Pleasant Valley Rd, Center City, MN 55012 Phone: 651-213-4367
Dr. Kent David Smallwood, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 15251 Pleasant Valley Rd # Co7, Center City, MN 55012 Phone: 651-213-4169 Fax: 651-213-4515

Jeremy William Rondorf, PSYD - Medicare Psychologist in Center City, MN