Jerome Glynn Die, PHD in Little Rock, AR - Medicare Psychologist Provider

Jerome Glynn Die, PHD is a medicare enrolled "Psychologist - Clinical" provider in Little Rock, Arkansas. His current practice location is 5 Saint Vincent Cir, Suite 302, Little Rock, Arkansas. You can reach out to his office (for appointments etc.) via phone at (501) 666-5242.

Jerome Glynn Die is licensed to practice in Arkansas (license number 92-25P) 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 1609919612.

Contact Information

	Jerome Glynn Die, PHD
	5 Saint Vincent Cir, Suite 302, Little Rock, AR 72205-5412
	(501) 666-5242
	(501) 666-2430

Map and Direction

Healthcare Provider's Profile

Full Name	Jerome Glynn Die
Gender	Male
Speciality	Psychologist - Clinical
Location	5 Saint Vincent Cir, Little Rock, Arkansas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1609919612
Provider Enumeration Date: 02/15/2007
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 4981684404
Enrollment ID: I20040723000730

Medical Identifiers

Medical identifiers for Jerome Glynn Die such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1609919612	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	92-25P (Arkansas)	Primary
103TC0700X	Psychologist - Clinical	21056 (Texas)	Secondary

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. Jerome Glynn Die allows following entities to bill medicare on his behalf.

Entity Name	Thomas C. Stinnett , M.d.,p.a.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1316072184 PECOS PAC ID: 7719977230 Enrollment ID: O20040517000570

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. Jerome Glynn Die 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
Jerome Glynn Die, PHD 5 Saint Vincent Cir, Suite 302, Little Rock, AR 72205-5412 Ph: (501) 666-5242	Jerome Glynn Die, PHD 5 Saint Vincent Cir, Suite 302, Little Rock, AR 72205-5412 Ph: (501) 666-5242

Reviews and Comments

Psychologist in Little Rock, AR

Stephen Clark, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 10025 W. Markham Street, Ste 210, Little Rock, AR 72205 Phone: 501-663-4673 Fax: 501-801-1816
Mark Edwards, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 800 Marshall St # 653, Little Rock, AR 72202 Phone: 501-364-1100
Dr. Melissa Lee Wright, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1210 Wolfe St, Little Rock, AR 72202 Phone: 501-364-3810 Fax: 501-364-3816
Larry Clarke, PH.D. (PSYCHOLOGIST) Psychologist Medicare: Not Enrolled in Medicare Practice Location: 11219 Financial Centre Pkwy, Suite 310, Little Rock, AR 72211 Phone: 501-224-8393 Fax: 501-224-2849
Mrs. Zenobia Carter, M.S. LPE Psychologist Medicare: Not Enrolled in Medicare Practice Location: 5905 Forest Pl, Little Rock, AR 72207 Phone: 501-666-8686 Fax: 501-660-6838
Brittani Baldwin Gracey, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 305 S Palm St, Little Rock, AR 72205 Phone: 507-686-9000
Laura Goodhart, PHD Psychologist Medicare: Medicare Enrolled Practice Location: 1301 Wolfe St, Little Rock, AR 72202 Phone: 501-372-2768 Fax: 501-978-6492

Jerome Glynn Die, PHD - Medicare Psychologist in Little Rock, AR